Individual provider · Type 1 NPI

Chisom Ezenwenyi

Student in an Organized Health Care Education/Training Program · Richmond, VA

NPI number 1225972227 Active

Practice location

410 N 12th St
Richmond, VA 23298-5009

Call (919) 937-1097 Map

Mailing address

5315 Pageford Dr
Durham, NC 27703-5877

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0203021395 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225972227

Chisom Ezenwenyi's National Provider Identifier is 1225972227, issued on Apr 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, VA. The record was last updated on Apr 18, 2026.