Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Concilia Mbawuike, CNP

Individual provider Acute Care Nurse Practitioner · NPI 1336837574

Concilia Mbawuike, CNP is a Nurse Practitioner in Roanoke, Virginia. Qualified in 2022, 4 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

5372 Fallowater Ln Ste 200
Roanoke, VA 24018-0909
Phone: (216) 672-3100
Fax: (216) 362-0677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20130 Lakeview Center Plz, Ashburn, VA 20147-5904 — (703) 865-2144

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024186984 (VA)

Record details

NPI number1336837574
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedApril 26, 2023
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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