Individual provider · Type 1 NPI
Adeola Ogugua
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1639401474
Active
Practice location
1250 Waters Pl
Bronx, NY 10461-2720
Mailing address
1825 Eastchester Rd
Bronx, NY 10461-2301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307396 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404108 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1639401474
Adeola Ogugua's National Provider Identifier is 1639401474, issued on Feb 4, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bronx, NY. The record was last updated on May 11, 2022.