Individual provider · Type 1 NPI
Chike Christopher Ifediorah, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Raleigh, NC
NPI number
1548733934
Active
Practice location
1300 Western Blvd
Raleigh, NC 27606-2148
Mailing address
2906 Skybrook Ln
Durham, NC 27703-5977
Other practice locations
- 2906 Skybrook Ln, Durham, NC 27703-5977 · (919) 949-8956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 287100 (NC) |
| Acute Care Nurse Practitioner | 363LA2100X | 287100 (NC) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 5011513 (NC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1548733934
Chike Christopher Ifediorah, NURSE PRACTITIONER's National Provider Identifier is 1548733934, issued on Jan 8, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Raleigh, NC. The record was last updated on Feb 10, 2022.