Individual provider · Type 1 NPI
Ellen Koduah-Agbo, DNP, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Richmond, VA
NPI number
1306416672
Active
Practice location
6800 Paragon Pl Ste 200
Richmond, VA 23230-1652
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024181591 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1306416672
Ellen Koduah-Agbo, DNP, APRN, PMHNP-BC's National Provider Identifier is 1306416672, issued on Jun 29, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richmond, VA. The record was last updated on Apr 26, 2023.