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Individual

MARY NNEKA UKPABI-EGBUNIWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4260 CROSSINGS BLVD, SUITE 2, PRINCE GEORGE, VA 23875-1400
(804) 452-5800
(804) 452-5801
Mailing address
PO BOX 220, NEW CANTON, VA 23123-0220
(434) 581-3271
(434) 581-1704

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024171023
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024171023
VA

Other

Enumeration date
03/19/2012
Last updated
02/07/2024
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