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Individual

OGECHUKWU IGBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
10601 BIRDIE LN, UPPER MARLBORO, MD 20774-6022
(240) 544-8190
(240) 200-7862

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024181070
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R196150
MD

Other

Enumeration date
11/13/2020
Last updated
09/09/2024
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