Provider Demographics
NPI:1245824275
Name:CHIGBU, AMARACHI K (DNP)
Entity type:Individual
Prefix:MRS
First Name:AMARACHI
Middle Name:K
Last Name:CHIGBU
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4656 RIVERSTONE DR APT 201
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6991
Mailing Address - Country:US
Mailing Address - Phone:443-418-8356
Mailing Address - Fax:
Practice Address - Street 1:3100 LORD BALTIMORE DR STE 205
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2879
Practice Address - Country:US
Practice Address - Phone:443-200-5450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-20
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR210883363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health