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NPI Code Detail

MEDICARE: UKAMAKA MARIAN ORUCHE MSN, RN, CS

MEDICARE: UKAMAKA MARIAN ORUCHE MSN, RN, CS
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
1364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist70000070IN

General Provider Information

NPI Number : 1164528907
Entity Type Code : Individual
Provider Name (Legal Business Name) : UKAMAKA MARIAN ORUCHE MSN, RN, CS
Provider Business Mailing Address
First Line : 9785 VALLEY SPRINGS BLVD
Second Line :
City : FISHERS
State : IN
Zip : 46037-8764
Country : US
Telephone Number : 317-913-6755
Fax Number : 317-453-3393
Provider Business Practice Location Address
First Line : 1434 SHELBY ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-1945
Country : US
Telephone Number : 317-655-3218
Fax Number : 317-931-5140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 12/30/2021

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