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NPI Code Detail

MEDICARE: UGOEZI BRIDGET AGU

MEDICARE: UGOEZI BRIDGET AGU
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 NurseRN33247NV
2363LF0000XFamily Nurse PractitionerAPRN000871NV
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN000871NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00978892OTHERNVRAILROAD MEDICARE

General Provider Information

NPI Number : 1467406868
Entity Type Code : Individual
Provider Name (Legal Business Name) : UGOEZI BRIDGET AGU
Provider Business Mailing Address
First Line : 500 N RAINBOW BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-1061
Country : US
Telephone Number : 702-508-6608
Fax Number : 702-508-6643
Provider Business Practice Location Address
First Line : 500 N RAINBOW BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-1061
Country : US
Telephone Number : 702-508-6608
Fax Number : 702-508-6643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 09/27/2024

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Directions to “ UGOEZI BRIDGET AGU ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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