Individual provider · Type 1 NPI

Christiana Upe Omodugba-Udeh, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Kennewick, WA

NPI number 1396456174 Active

Practice location

216 W 10th Ave
Kennewick, WA 99336-6300

Mailing address

13355 Noel Rd Ste 1100
Dallas, TX 75240-6694

Other practice locations

  • 13355 Noel Rd Ste 1100, Dallas, TX 75240-6694 · (833) 400-0120
  • 13355 Noel Rd Ste 1100, Dallas, TX 75240-6694 · (833) 400-0120

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP61408400 (WA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2022026825 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1396456174

Christiana Upe Omodugba-Udeh, PMHNP-BC's National Provider Identifier is 1396456174, issued on Dec 12, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kennewick, WA. The record was last updated on Jul 20, 2026.