Active NPIIndividual provider

Elsie O Adibe, APRN

Nurse Practitioner, Psych/Mental Health in Tacoma, Washington

NPI Number1962960930
Practice location
Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-4342
Fax
—
Last updated
July 23, 2022

Elsie Oge Izunwanne Adibe is a Nurse Practitioner, Psych/Mental Health based in Tacoma, WA. Elsie Oge Izunwanne Adibe practices in Tacoma, WA and has the professional credentials of APRN. The NPI Number for Elsie Oge Izunwanne Adibe is 1962960930 and holds a License No. 946868 (TX). The current practice location address for Elsie Oge Izunwanne Adibe is Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-4342 and can be reached out via phone at 253-968-2252.

Provider Profile Details

NPI Number
1962960930
Provider Name
Elsie Oge Izunwanne Adibe
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-4342
Phone Number
253-968-2252
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
March 7, 2019
Last Update Date
July 23, 2022
Certification Date
July 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-4342
City
Tacoma
Zip
98431-4342
Phone Number
253-968-2252
Tacoma, WA 98431Get directions →

Provider Business Mailing Address Details

Address
231 Main St Ste 300
Brockton, MA 02301-4342
City
Brockton
State
MA
Zip
02301-4342
Phone Number
508-586-2660

License Information

License Number (1)
946868
License State (1)
TX
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
1028699
License State (2)
TX
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
RN2330477
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (4)
AP61295115
License State (4)
WA
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elsie O Adibe, APRN?

The NPI number of Elsie O Adibe, APRN is 1962960930. It was assigned on March 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Elsie O Adibe, APRN?

Elsie O Adibe, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in TX under license number 946868.

Where does Elsie O Adibe, APRN practice?

The practice location is Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-4342. The office can be reached at 253-968-2252 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962960930 directly on the NPPES registry website.

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