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

Theresa Chibuzo Ezenwajiaku

Individual provider Nurse Practitioner · NPI 1053047977

Theresa Chibuzo Ezenwajiaku is a Nurse Practitioner in Bowie, Maryland. Qualified in 2017, 9 years ago. Practices with Adventist Physician Services Inc, a 144-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2022
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Practice location Address checks out

15217 Jennings Ln
Bowie, MD 20721-7215
Phone: (240) 485-4619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15217 Jennings Ln, Bowie, MD 20721-7215 — (240) 485-4619

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AG06220137 (MD)

Record details

NPI number1053047977
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Adventist Physician Services Inc — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bowie