Individual
UDOKA DEBORAH ETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
930 N MULLAN RD STE 1, SPOKANE VALLEY, WA 99206-4004
(509) 596-1174
Mailing address
930 N MULLAN RD STE 1, SPOKANE VALLEY, WA 99206-4004
(509) 596-1174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
736381
TX
363LF0000X
Family Nurse Practitioner
AP60864397
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60864397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125500
—
WA
Enumeration date
06/29/2016
Last updated
02/23/2023
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