Individual provider · Type 1 NPI
Dera Ogudo, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Richmond, TX
NPI number
1104614668
Active
Practice location
4524 Avenida Monterey Pl
Richmond, TX 77406-2442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1193811 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104614668
Dera Ogudo, PMHNP-BC's National Provider Identifier is 1104614668, issued on Apr 25, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richmond, TX. The record was last updated on Apr 25, 2025.