Provider Demographics
NPI:1265195853
Name:UWAZIE, CHIBUGO
Entity type:Individual
Prefix:
First Name:CHIBUGO
Middle Name:
Last Name:UWAZIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 GARDEN CITY DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1115
Mailing Address - Country:US
Mailing Address - Phone:412-260-3704
Mailing Address - Fax:
Practice Address - Street 1:5230 TOWERS TER STE 538
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-2231
Practice Address - Country:US
Practice Address - Phone:412-864-7706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASPO24569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily