Individual provider · Type 1 NPI
Enobong C. Udo, A-GNP
Nurse Practitioner · Dallas, TX
Practice location
2231 Butler St
Dallas, TX 75235-7826
Fax (214) 590-0413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP137519 (TX) |
| Gerontology Nurse Practitioner | 363LG0600X | AP137519 (TX) |
| Primary Care Nurse Practitioner | 363LP2300X | AP137519 (TX) |
| Nurse Practitioner Primary | 363L00000X | AP137519 (TX) |
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…
3 other providers at this address
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About NPI 1124518253
Enobong C. Udo, A-GNP's National Provider Identifier is 1124518253, issued on May 15, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Aug 23, 2024.