Individual
DR. ELLEN KODUAH-AGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
6800 PARAGON PL STE 200, RICHMOND, VA 23230-1652
(804) 562-9997
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024181591
VA
Other
Enumeration date
06/29/2021
Last updated
04/26/2023
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