Provider Demographics
NPI:1275300956
Name:MGBIKE, FLORENCE UCHE (NP)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:UCHE
Last Name:MGBIKE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14614 W 151ST TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3729
Mailing Address - Country:US
Mailing Address - Phone:913-706-0597
Mailing Address - Fax:
Practice Address - Street 1:14614 W 151ST TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3729
Practice Address - Country:US
Practice Address - Phone:913-706-0597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-110551-102163WM0705X
KS53-80155-102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical