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Organization

GRACEFUL OLIVES HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UGOCHI NWANYIETODI NWAOBI PMHNP (OWNER)
(352) 286-9347
Entity
Organization

Contact information

Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(315) 547-0502
(727) 382-0311
Mailing address
8403 PINES BLVD # 1440, PEMBROKE PINES, FL 33024-6609
(954) 710-9062
(954) 405-8681

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/18/2024
Last updated
12/08/2025
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