Udoka Deborah Eti, NP
Nurse Practitioner, Psych/Mental Health in Spokane Valley, WA. Individual provider (NPI-1).
NPI number1093166142
StatusActive
Last updated in NPPESFeb 23, 2023
Details
- NPI
- 1093166142
- Entity type
- Individual (NPI-1)
- Name
- Udoka Deborah Eti
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2016
- Certification date
- Feb 23, 2023
- Last updated
- Feb 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP60864397 | WA | Yes |
| 363LF0000X | Nurse Practitioner, Family | AP60864397 | WA | |
| 363LF0000X | Nurse Practitioner, Family | 736381 | TX |
Practice location
930 N Mullan Rd Ste 1Spokane Valley, WA 99206-4004
Phone 509-596-1174
Mailing address
930 N Mullan Rd Ste 1Spokane Valley, WA 99206-4004
Phone 509-596-1174
Other practice locations
107 S Division St
Spokane, WA 99202-1510
Spokane, WA 99202-1510
Phone 509-838-4651
1401 N Calispel St
Spokane, WA 99201-2317
Spokane, WA 99201-2317
Phone 509-838-4651
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