Provider Demographics
NPI:1831320258
Name:DIRIBE, EBERE (NP)
Entity Type:Individual
Prefix:MRS
First Name:EBERE
Middle Name:
Last Name:DIRIBE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:EBERE
Other - Middle Name:
Other - Last Name:MONEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 INDIAN FIELD DRIVE
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419
Mailing Address - Country:US
Mailing Address - Phone:973-412-8414
Mailing Address - Fax:
Practice Address - Street 1:11 INDIAN FIELD DR
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419-2436
Practice Address - Country:US
Practice Address - Phone:973-412-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00186400163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice