Provider Demographics
NPI:1083262992
Name:UDOH, FRANCESCA E (NP)
Entity Type:Individual
Prefix:MRS
First Name:FRANCESCA
Middle Name:E
Last Name:UDOH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51875 WHITESTABLE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46637-1371
Mailing Address - Country:US
Mailing Address - Phone:574-250-4016
Mailing Address - Fax:
Practice Address - Street 1:51875 WHITESTABLE LN
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46637-1371
Practice Address - Country:US
Practice Address - Phone:574-250-4016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2019010608363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health