Mbanugo, Faith I

Mbanugo, Faith I is an individual health care provider with primary practice located at 18100 Oakwood Blvd Suite 100, Dearborn MI 48124-4071. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mbanugo, Faith I can be contacted via phone (313) 253-2000.

Contact Information

Primary practice address
18100 Oakwood Blvd Suite 100 Dearborn MI 48124-4071
Phone: (313) 253-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704210775 Michigan

Profile Details

NPI number 1265484174
LBN Legal business name Mbanugo, Faith I
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265484174 NPPES
Michigan MEDICAID 4835483

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