Provider Demographics
NPI:1497100598
Name:UGORJI, EBERE D (ARNP)
Entity Type:Individual
Prefix:
First Name:EBERE
Middle Name:D
Last Name:UGORJI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 N ARGONNE RD STE B101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2877
Mailing Address - Country:US
Mailing Address - Phone:509-473-9633
Mailing Address - Fax:509-474-1695
Practice Address - Street 1:521 N ARGONNE RD STE B101
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2877
Practice Address - Country:US
Practice Address - Phone:509-220-3048
Practice Address - Fax:509-279-0286
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60631861363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily