Individual
NKEIRUKA ODUAGU MADUBUEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5015 S IH 35 STE 200, AUSTIN, TX 78744-2714
(512) 445-7787
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP137960
TX
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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