Individual
MERCY IFEOMA UGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(918) 683-5677
Mailing address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(918) 913-3043
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
135280
OK
363LA2100X
Acute Care Nurse Practitioner
31349
TX
Other
Enumeration date
12/17/2019
Last updated
11/25/2020
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