Organization
VIRTUAL ALLIED REMOTE DIAGNOSTIC & CLINICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKE UZOWULU RN / PSYCHIATRY (DIRECTOR)
(281) 979-4812
Entity
Organization
Contact information
Practice address
800 FAIRVIEW AVE N, SEATTLE, WA 98109-4412
(281) 979-4812
Mailing address
800 FAIRVIEW AVE N, SEATTLE, WA 98109-4412
(281) 979-4812
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN60804536
STATE LICENSE RN
WA
Enumeration date
05/09/2019
Last updated
08/18/2021
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