Provider Demographics
NPI:1770840480
Name:ADIBE, CHINYERE OGECHI (PSYCH NP)
Entity Type:Individual
Prefix:MRS
First Name:CHINYERE
Middle Name:OGECHI
Last Name:ADIBE
Suffix:
Gender:F
Credentials:PSYCH NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 HILL RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4617
Mailing Address - Country:US
Mailing Address - Phone:202-390-4129
Mailing Address - Fax:
Practice Address - Street 1:516 HILL RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4617
Practice Address - Country:US
Practice Address - Phone:202-390-4129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183447363LP0808X, 363LP0808X
MDR227661363LP0808X
DCNP1045339363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health