Individual
NICHOLAS CHINEDU IBEKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5909 ORCHARD ST W, TACOMA, WA 98467-3824
(253) 752-7320
Mailing address
5909 ORCHARD ST W, TACOMA, WA 98467-3824
(253) 752-7320
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61522288
WA
Other
Enumeration date
01/22/2024
Last updated
05/06/2024
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