Individual provider · Type 1 NPI

Carolyn Adaeze Ibe, DNP, APRN, AGACNP-BC

Nurse Practitioner · Detroit, MI

NPI number 1811399652 Active

Practice location

3990 John R St
Detroit, MI 48201-2097

Mailing address

1321 Orleans St Apt 1910
Detroit, MI 48207-3198

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704294466 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1811399652

Carolyn Adaeze Ibe, DNP, APRN, AGACNP-BC's National Provider Identifier is 1811399652, issued on Sep 24, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Mar 31, 2025.