Provider Demographics
NPI:1699511246
Name:MGBACHI, ONYINYECHI NZUBE
Entity type:Individual
Prefix:
First Name:ONYINYECHI
Middle Name:NZUBE
Last Name:MGBACHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SOFT WINTER CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4977
Mailing Address - Country:US
Mailing Address - Phone:309-868-0288
Mailing Address - Fax:
Practice Address - Street 1:8 SOFT WINTER CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4977
Practice Address - Country:US
Practice Address - Phone:309-868-0288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001299080163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse