Provider Demographics
NPI:1386918076
Name:BUCHI-AHIABUIKE, CHINYERE HOPE (DNP, CRNP)
Entity type:Individual
Prefix:
First Name:CHINYERE
Middle Name:HOPE
Last Name:BUCHI-AHIABUIKE
Suffix:
Gender:F
Credentials:DNP, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35902-0097
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1216 WILBANKS AVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903
Practice Address - Country:US
Practice Address - Phone:256-439-6384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-132488363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-29041OtherBLUE CROSS (COMPLEX)
AL511-54212OtherBLUE CROSS (CHEROKEE)
AL140803 (SBC)Medicaid
AL141033 (COMPLEX)Medicaid
AL164990 (CHEROKEE)Medicaid
AL511-29039OtherBLUE CROSS (CANTERBERRY)
AL140804 (WATTS)Medicaid
AL511-29037OtherBLUE CROSS (SBC)
AL511-29040OtherBLUE CROSS (WATTS)
AL140811 (CANTERBERRY)Medicaid
AL511-54212OtherBLUE CROSS (CHEROKEE)
AL511-29037OtherBLUE CROSS (SBC)
AL102I509833 (CANT)Medicare PIN
AL102I501017 (SBC)Medicare PIN