Individual
CHINEDU UZOMA ODURUKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000
Mailing address
3301 7TH AVE UNIT B, ANOKA, MN 55303-4516
(651) 431-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6989
MN
Other
Enumeration date
11/13/2019
Last updated
10/12/2020
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