Individual provider · Type 1 NPI
Patricia Oghogho Ezeakudo
Family Nurse Practitioner · Fort Wayne, IN
NPI number
1104615707
Active
Practice location
2510 E Dupont Rd Ste 200
Fort Wayne, IN 46825-1601
Fax (260) 969-6832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71016548A (IN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104615707
Patricia Oghogho Ezeakudo's National Provider Identifier is 1104615707, issued on May 1, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on May 1, 2025.