Individual
EKOR WONAH ODAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12 PENNINGTON ST STE 100, MIDDLETOWN, DE 19709-1026
(302) 724-1181
Mailing address
590 RED MAPLE RD, SMYRNA, DE 19977-5294
(908) 370-2902
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AN-0025824
DE
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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