Individual provider · Type 1 NPI
Kaodichinma Ogbonna
Family Nurse Practitioner · Detroit, MI
NPI number
1972076693
Active
Practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
18362 Cedar Island Blvd
Brownstown, MI 48174-9584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704267833 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972076693
Kaodichinma Ogbonna's National Provider Identifier is 1972076693, issued on Jan 4, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, MI. The record was last updated on Jan 4, 2019.