Provider Demographics
NPI:1558641092
Name:UGOCHUKWU, EUNICE (DNP, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:EUNICE
Middle Name:
Last Name:UGOCHUKWU
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:MS
Other - First Name:EUNICE
Other - Middle Name:
Other - Last Name:UGOCHUKWU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, PMHNP-BC
Mailing Address - Street 1:626 N RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1101
Mailing Address - Country:US
Mailing Address - Phone:702-778-7782
Mailing Address - Fax:702-333-4436
Practice Address - Street 1:626 N RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1101
Practice Address - Country:US
Practice Address - Phone:702-778-7782
Practice Address - Fax:702-333-4436
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001660363LP0808X, 363LP0808X
NV001660363LP0808X
NC223894163WP0808X
NV55600163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health