Individual provider · Type 1 NPI

Ekaete Udodong, APRN

Nurse Practitioner · Pleasant Grove, UT

NPI number 1083676647 Active

Practice location

1886 W 800 N
Pleasant Grove, UT 84062-4097

Fax (801) 756-7589

Mailing address

1055 N 500 W, Attn: Credentialing
Provo, UT 84604-3305

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X198596-4405 (UT)
Nurse Practitioner Primary 363L00000X198596-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083676647

Ekaete Udodong, APRN's National Provider Identifier is 1083676647, issued on Apr 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pleasant Grove, UT. The record was last updated on Nov 27, 2023.