Provider Demographics
NPI:1649966888
Name:MUKURAZHIZHA, PATIENCE (BSW, MSW, LCSWA)
Entity type:Individual
Prefix:MRS
First Name:PATIENCE
Middle Name:
Last Name:MUKURAZHIZHA
Suffix:
Gender:F
Credentials:BSW, MSW, LCSWA
Other - Prefix:MRS
Other - First Name:PATIENCE
Other - Middle Name:
Other - Last Name:BOWORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:3117 POPLARWOOD CT STE 350
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-6446
Mailing Address - Country:US
Mailing Address - Phone:919-790-8580
Mailing Address - Fax:
Practice Address - Street 1:5G OAK BRANCH DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2157
Practice Address - Country:US
Practice Address - Phone:336-856-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0182821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical