Individual
OKIEMUTE UWANOGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2236 MARSHALL AVE, SAINT PAUL, MN 55104-5799
(651) 659-0208
(651) 659-0161
Mailing address
2236 MARSHALL AVENUE, SAINT PAUL, MN 55104
(651) 659-0208
(651) 659-0161
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R 200822-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
868K1CA
BCBS
MN
Enumeration date
04/25/2012
Last updated
04/25/2012
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