Angela Ejinwaemonu Udeh, RN
Nurse Practitioner, Psych/Mental Health in Phoenix, AZ. Individual provider (NPI-1).
NPI number1215519137
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1215519137
- Entity type
- Individual (NPI-1)
- Name
- Angela Ejinwaemonu Udeh
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2021
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 1153897 | TX | Yes |
Practice location
2415 E Camelback Rd Ste 700Phoenix, AZ 85016-4245
Phone 888-279-0002
Mailing address
7101 Chase Oaks Blvd Apt 325Plano, TX 75025-5910
Phone 214-535-8128
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