Provider Demographics
NPI:1265051692
Name:IGWILO, DEBBIE UCHE (NP)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:UCHE
Last Name:IGWILO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 WEEPING CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-6720
Mailing Address - Country:US
Mailing Address - Phone:901-319-0004
Mailing Address - Fax:
Practice Address - Street 1:157 WEEPING CYPRESS DR
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-6720
Practice Address - Country:US
Practice Address - Phone:901-319-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN.23848.APRN363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily