Chinwe Chinelo Mirikwe, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0916189 Issued in NC

Practice address

210 W Liberty St
Williamston, NC 27892-1712

Phone

(252) 793-1619

Fax

(252) 793-1644

NPI assigned

Dec 14, 2016

Last updated

Dec 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1578007233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W LIBERTY ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921712",
            "telephone_number": "252-793-1619",
            "fax_number": "252-793-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W LIBERTY ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921712",
            "telephone_number": "252-793-1619",
            "fax_number": "252-793-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRIKWE",
        "first_name": "CHINWE",
        "middle_name": "CHINELO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F0916189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Williamston, NC
• Providers in Williamston, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.