Provider Demographics
NPI:1801765573
Name:CHIFAMBA, EUCARIA
Entity type:Individual
Prefix:
First Name:EUCARIA
Middle Name:
Last Name:CHIFAMBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EUCARIA
Other - Middle Name:
Other - Last Name:MUZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2423 ELISABETH LN
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-3610
Mailing Address - Country:US
Mailing Address - Phone:614-446-1627
Mailing Address - Fax:
Practice Address - Street 1:1990 HARMON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-3829
Practice Address - Country:US
Practice Address - Phone:614-445-5960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH427089163W00000X
OH2025028938163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse