CONCILIA MBAWUIKE CNP NPI 1336837574

NPI Information

  • NPI: 1336837574
  • Provider Name: CONCILIA MBAWUIKE, CNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5372 FALLOWATER LN STE 200
    ROANOKE, VA
    ZIP 24018
  • Phone: (216) 672-3100

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NPI Details

Concilia Mbawuike, CNP is an acute care nurse practitioner in Roanoke, VA with 3 years of experience. Concilia Mbawuike, CNP NPI is 1336837574. 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:

5372 FALLOWATER LN STE 200
ROANOKE, VA
ZIP 24018-909
Phone: (216) 672-3100
Fax: (216) 362-0677

The NPI 1336837574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2023 and was last updated on 4/26/2023.

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
1363LA2100XNurse PractitionerAcute Care0024186984VIRGINIAYes

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: 3/30/2025

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