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Individual
GRACE AMALACHUKWU MADUEKE
Active
Individual
GRACE AMALACHUKWU MADUEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10053682
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28243400A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
87169
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61508543
WA
Other
Enumeration date
09/22/2021
Last updated
02/20/2026
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