Individual provider · Type 1 NPI
Kizito Lotachukwu Mbaekwe
Psychiatric/Mental Health Nurse Practitioner · Champions Gate, FL
NPI number
1295668796
Active
Practice location
307 Nine Iron Dr
Champions Gate, FL 33896-8025
Mailing address
2033 SE Lennard Rd Apt 209
Port St. Lucie, FL 34952-4748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11048423 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Champions Gate
About NPI 1295668796
Kizito Lotachukwu Mbaekwe's National Provider Identifier is 1295668796, issued on Jun 4, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Champions Gate, FL. The record was last updated on Aug 18, 2026.