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NPI Code Detail

MEDICARE: CHIDINMA OGUNDU NP

MEDICARE: CHIDINMA OGUNDU NP
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
1163W00000XRegistered Nurse804068TX
2163WH0200XHome Health Registered Nurse804068TX
3164W00000XLicensed Practical Nurse69259MA
4363LF0000XFamily Nurse Practitioner0024185698VA
5363LF0000XFamily Nurse PractitionerMCS006335BMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932372570
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIDINMA OGUNDU NP
Provider Business Mailing Address
First Line : 926 MAIN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3614
Country : US
Telephone Number : 615-436-9060
Fax Number : 615-235-9725
Provider Business Practice Location Address
First Line : 926 MAIN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3614
Country : US
Telephone Number : 615-436-9060
Fax Number : 615-235-9725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2008
Last Update Date : 06/12/2024

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