Individual
PATRICIA OGHOGHO EZEAKUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 E DUPONT RD STE 200, FORT WAYNE, IN 46825-1601
(260) 432-4913
(260) 969-6832
Mailing address
2510 E DUPONT RD STE 200, FORT WAYNE, IN 46825-1601
(260) 432-4913
(260) 969-6832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016548A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71016548A
NURSING BOARD
IN
Enumeration date
05/01/2025
Last updated
05/01/2025
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