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NPI Code Detail

MEDICARE: UHUNWA OMOROGBE

MEDICARE: UHUNWA OMOROGBE
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1073545TX

General Provider Information

NPI Number : 1538697685
Entity Type Code : Individual
Provider Name (Legal Business Name) : UHUNWA OMOROGBE
Provider Business Mailing Address
First Line : 41521 W 11 MILE RD
Second Line :
City : NOVI
State : MI
Zip : 48375-1803
Country : US
Telephone Number : 248-299-0030
Fax Number :
Provider Business Practice Location Address
First Line : 41521 W 11 MILE RD
Second Line :
City : NOVI
State : MI
Zip : 48375-1803
Country : US
Telephone Number : 248-299-0030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2017
Last Update Date : 03/12/2026

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Directions to “ UHUNWA OMOROGBE ” Practice Location

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