Individual provider · Type 1 NPI
Ebenezer Bodude, RN
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1275900060
Active
Practice location
11225 N 28th Dr
Phoenix, AZ 85029-5606
Mailing address
7067 W Jackrabbit Ln
Peoria, AZ 85383-6018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 298440 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275900060
Ebenezer Bodude, RN's National Provider Identifier is 1275900060, issued on Aug 27, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 25, 2023.