Provider Demographics
NPI:1477881548
Name:UKAEGBU, ALICE CHINYERE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:CHINYERE
Last Name:UKAEGBU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7457 7TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1805
Mailing Address - Country:US
Mailing Address - Phone:202-829-4269
Mailing Address - Fax:202-829-4269
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-4272
Practice Address - Fax:202-865-7215
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN55058363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner