Individual
MS. KRYSTAL UKAEGBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN131251
LA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/15/2025
Last updated
07/09/2025
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