Individual
MRS. BRENDALYNN IJEOMA-IBE LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10850 PROVIDENCE RD STE 1260, CHARLOTTE, NC 28277-2684
(248) 766-5786
Mailing address
10850 PROVIDENCE RD STE 1260, CHARLOTTE, NC 28277-2684
(248) 766-5786
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012382
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704249739
LICENSE NUMBER
MI
Enumeration date
10/24/2012
Last updated
04/29/2025
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