MRS. CHINYERE NGOZI EZE PA-C NPI 1003032855

NPI Information

NPI: 1003032855
Provider Name: MRS. CHINYERE NGOZI EZE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
11750 BUSINESS PARK DR
SUITE 103
WALDORF, MD
ZIP 20601
Phone: (240) 419-3865
Get Directions

MRS. Chinyere Ngozi Eze, PA-C is a medical physician assistant in Waldorf, MD. MRS. Chinyere Ngozi Eze, PA-C NPI is 1003032855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11750 BUSINESS PARK DR
SUITE 103
WALDORF, MD
ZIP 20601-907
Phone: (240) 419-3865

The enumeration date for this NPI number is 4/18/2007 and was last updated on 5/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA030649	DISTRICT OF COLUMBIA	No
2	363AM0700X	Physician Assistant	Medical	0110003552	VIRGINIA	No
3	363AM0700X	Physician Assistant	Medical	5103548	FLORIDA	No
4	363AM0700X	Physician Assistant	Medical	C0004111	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5103548	OTHER	FLORIDA	STATE LICENSURE
2	PA030649	OTHER	DISTRICT OF COLUMBIA	STATE LICENSE
3	C0004111	OTHER	MARYLAND	STATE LICENSE
4	CA1000041	OTHER	DISTRICT OF COLUMBIA	CDS
5	0110003552	OTHER	VIRGINIA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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