Individual
CHUKWUKA SOPULU ONUBOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302
(802) 257-7785
Mailing address
499 S MAIN ST, BRATTLEBORO, VT 05301-6340
(802) 380-9730
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0136116
VT
Other
Enumeration date
04/21/2023
Last updated
12/10/2024
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