Provider Demographics
NPI:1164528907
Name:ORUCHE, UKAMAKA MARIAN (MSN, RN, CS)
Entity Type:Individual
Prefix:
First Name:UKAMAKA
Middle Name:MARIAN
Last Name:ORUCHE
Suffix:
Gender:F
Credentials:MSN, RN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9785 VALLEY SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-8764
Mailing Address - Country:US
Mailing Address - Phone:317-913-6755
Mailing Address - Fax:317-453-3393
Practice Address - Street 1:1434 SHELBY ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-1945
Practice Address - Country:US
Practice Address - Phone:317-655-3218
Practice Address - Fax:317-931-5140
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN70000070364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent