Provider Demographics
NPI:1184590689
Name:BIBI ADULT PRIMARY CARE, LLC
Entity type:Organization
Organization Name:BIBI ADULT PRIMARY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BIBIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:443-717-4762
Mailing Address - Street 1:16 GRANNY SMITH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1749
Mailing Address - Country:US
Mailing Address - Phone:443-717-4762
Mailing Address - Fax:443-717-4762
Practice Address - Street 1:16 GRANNY SMITH CT
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-1749
Practice Address - Country:US
Practice Address - Phone:443-717-4762
Practice Address - Fax:443-717-4762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care