Provider Demographics
NPI:1205449048
Name:COPES, CHIZOBA MBANUGO (RN)
Entity type:Individual
Prefix:MRS
First Name:CHIZOBA
Middle Name:MBANUGO
Last Name:COPES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11232 DELAWARE PKWY APT 3310
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-3758
Mailing Address - Country:US
Mailing Address - Phone:415-525-6012
Mailing Address - Fax:
Practice Address - Street 1:4801 E LINWOOD BLVD # M1-574
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2226
Practice Address - Country:US
Practice Address - Phone:816-861-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-30
Last Update Date:2020-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-152647-092163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse