Individual
UGOEZI BRIDGET AGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 508-6608
(702) 508-6643
Mailing address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 508-6608
(702) 508-6643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN33247
NV
363LF0000X
Family Nurse Practitioner
APRN000871
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN000871
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00978892
RAILROAD MEDICARE
NV
Enumeration date
05/20/2006
Last updated
09/27/2024
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