Provider Demographics
NPI:1861776346
Name:EFURIBE, CHIBUZO (DNP, FNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:CHIBUZO
Middle Name:
Last Name:EFURIBE
Suffix:
Gender:F
Credentials:DNP, FNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29514 JUNIPER RANCH RD
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-2444
Mailing Address - Country:US
Mailing Address - Phone:240-486-2007
Mailing Address - Fax:
Practice Address - Street 1:9109 SPRING WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-3536
Practice Address - Country:US
Practice Address - Phone:240-486-2007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC006568363LP0808X
MDAC006569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty