Healthcare Provider Details

I. General information

NPI: 1952141137
Provider Name (Legal Business Name): UCHECHUKWU R OGBUOKIRI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PILOT RD 250
LAS VEGAS NV
89119
US

IV. Provider business mailing address

1050 E FLAMINGO RD
LAS VEGAS NV
89119-7427
US

V. Phone/Fax

Practice location:
  • Phone: 702-982-3292
  • Fax:
Mailing address:
  • Phone: 702-900-7605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number849605
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: