Individual
DR. CAROLYN ADAEZE IBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2097
(313) 745-8694
Mailing address
1321 ORLEANS ST APT 1910, DETROIT, MI 48207-3198
(313) 629-9684
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704294466
MI
Other
Enumeration date
09/24/2014
Last updated
03/31/2025
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