Individual
CHIDINMA E OKOGBUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 MEDICAL PARK DR SE, GRAND RAPIDS, MI 49546-3607
(248) 346-8624
Mailing address
1055 MEDICAL PK DR SE, GRAND RAPIDS, MI 49546-3607
(616) 957-2235
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704305842
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704305842
REGISTERED NURSE LICENSE
MI
Enumeration date
06/15/2022
Last updated
07/29/2024
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