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NPI Code Detail

MEDICARE: PATIENCE EKOGIAWE

MEDICARE: PATIENCE EKOGIAWE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner4704306291MI

General Provider Information

NPI Number : 1437540135
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATIENCE EKOGIAWE
Provider Business Mailing Address
First Line : 9366 SIL ST
Second Line :
City : TAYLOR
State : MI
Zip : 48180
Country : US
Telephone Number : 313-854-3148
Fax Number :
Provider Business Practice Location Address
First Line : 34290 FORD RD
Second Line :
City : WESTLAND
State : MI
Zip : 48185-3051
Country : US
Telephone Number : 313-854-3148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2015
Last Update Date : 07/16/2024

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Directions to “ PATIENCE EKOGIAWE ” Practice Location

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