Healthcare Provider Details

I. General information

NPI: 1447116140
Provider Name (Legal Business Name): NWANNE UDE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NWANNE OKAFOR EKE MD

II. Dates (important events)

Enumeration Date: 12/27/2025
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 E TAMPA ST
SPRINGFIELD MO
65806-1131
US

IV. Provider business mailing address

440 E TAMPA ST
SPRINGFIELD MO
65806-1131
US

V. Phone/Fax

Practice location:
  • Phone: 417-831-0150
  • Fax: 417-879-4320
Mailing address:
  • Phone: 417-831-0150
  • Fax: 417-879-4320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: