Individual provider · Type 1 NPI
Ntaobasi Patrick Udeh, AGACNP-BC
Nurse Practitioner · Hanover, MD
Practice location
6158 Fairbourne Ct
Hanover, MD 21076-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R229826 (MD) |
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…
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About NPI 1578990693
Ntaobasi Patrick Udeh, AGACNP-BC's National Provider Identifier is 1578990693, issued on Oct 3, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hanover, MD. The record was last updated on Jun 29, 2026.