Individual
UGOCHUKWU AZODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
7401 QUANTICO WAY, GLEN BURNIE, MD 21060-8796
(443) 703-8329
Mailing address
7401 QUANTICO WAY, GLEN BURNIE, MD 21060-8796
(443) 703-8329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1048979
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
236376
MD
Other
Enumeration date
11/12/2018
Last updated
12/08/2023
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