Individual
EZECHUKWU PRINCE IBEKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2224 WATTS LN, RICHMOND, VA 23223-1951
(804) 247-3997
Mailing address
2224 WATTS LN, RICHMOND, VA 23223-1951
(804) 247-3997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001238827
VA
163WC1500X
Community Health Registered Nurse
0001238827
VA
163WH0200X
Home Health Registered Nurse
0001238827
VA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001238827
VA
Other
Enumeration date
12/31/2016
Last updated
05/29/2024
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