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Individual
OKWUCHUKWU INNOCENT UDEMBA
Active
Individual
OKWUCHUKWU INNOCENT UDEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
766300
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405802-01
NY
Other
Enumeration date
04/02/2019
Last updated
09/24/2025
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