Provider Demographics
NPI:1083487482
Name:ADIGWE, MARIAGORETTI ENO (RN-IBCLC)
Entity Type:Individual
Prefix:
First Name:MARIAGORETTI
Middle Name:ENO
Last Name:ADIGWE
Suffix:
Gender:F
Credentials:RN-IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11431 WINDY CEDAR CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3071
Mailing Address - Country:US
Mailing Address - Phone:832-282-2961
Mailing Address - Fax:
Practice Address - Street 1:11431 WINDY CEDAR CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3071
Practice Address - Country:US
Practice Address - Phone:832-282-2961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL303217163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant