Provider Demographics
NPI:1508164708
Name:UDOH, UMOH NSEOBONG (RN)
Entity Type:Individual
Prefix:MRS
First Name:UMOH
Middle Name:NSEOBONG
Last Name:UDOH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 NORTHLAND BLVD SUITE 115
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240
Mailing Address - Country:US
Mailing Address - Phone:513-288-5571
Mailing Address - Fax:513-742-1511
Practice Address - Street 1:636 NORTHLAND BLVD STE 115
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3221
Practice Address - Country:US
Practice Address - Phone:513-288-5571
Practice Address - Fax:513-742-1511
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN288793163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse