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

Ifeyinwa Ibeanu

Individual provider Nurse Practitioner · NPI 1902351430

Ifeyinwa Ibeanu is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

954 Forrest St
Baltimore, MD 21202-4236
Phone: (410) 837-2135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R178898 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence R178898 (MD)

Record details

NPI number1902351430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2016
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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