MEDICARE: NKECHI OSUCHUKWU PMHNO

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0999659-NP	CO

General Provider Information

NPI Number	:	1144063686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NKECHI OSUCHUKWU PMHNO

Provider Business Mailing Address
First Line	:	24433 E FORD DR
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80018-6172
Country	:	US
Telephone Number	:	720-474-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 S ROUTT ST STE 250
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-2214
Country	:	US
Telephone Number	:	801-821-2333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	07/22/2024

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