Individual
EBI P. IGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8118
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
221877
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
79204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053319
—
NC
Enumeration date
06/10/2008
Last updated
12/18/2014
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