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Organization

RESTORED MIND PSYCHIATRIC SERVICES

Active
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Organization

RESTORED MIND PSYCHIATRIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UGOEZI BRIDGET AGU DNP (NURSE PRACTITIONER)
(702) 964-2122
Entity
Organization

Contact information

Practice address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 508-6608
(702) 508-6643
Mailing address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 508-6608
(702) 508-6643

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
04/20/2021
Last updated
04/06/2023
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