Individual ProviderMillicent Chidiebere MadujibeyaRegistered NurseNursing Service ProvidersPractice Address6856 Eastern Ave NW Ste 320a, Washington, DC 20012-2112(202) 541-9844(512) 576-4383PECOS EnrollmentBased on the most recent information from CMS, provider Millicent Chidiebere Madujibeya does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1841787728Provider TypeIndividualFull NameMadujibeya, Millicent ChidiebereCredentialRNGenderFemaleSole ProprietorNoEnumeration Date4/17/2018Last Updated4/17/2018Contact InformationPractice LocationPractice Address6856 Eastern Ave NW Ste 320a, Washington, DC 20012-2112Phone(202) 541-9844Fax(202) 541-9845Mailing LocationMailing Address6175 Glenn Dale Rd, Glenn Dale, MD 20769-9212Phone(512) 576-4383FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN1047866District of Columbia