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Individual

CHIKE CHRISTOPHER IFEDIORAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
1300 WESTERN BLVD, RALEIGH, NC 27606-2148
(919) 743-2321
Mailing address
2906 SKYBROOK LN, DURHAM, NC 27703-5977
(919) 949-8956

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
287100
NC
363LA2100X
Acute Care Nurse Practitioner
287100
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5011513
NC

Other

Enumeration date
01/08/2019
Last updated
02/10/2022
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