Provider Demographics
NPI:1598018715
Name:ASIEGBU, UCHECHI IFEOMA (CRNP)
Entity Type:Individual
Prefix:
First Name:UCHECHI
Middle Name:IFEOMA
Last Name:ASIEGBU
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:UCHECHI
Other - Middle Name:IFEOMA
Other - Last Name:LEVI-JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 EAST ROLLING CROSSROADS
Mailing Address - Street 2:SUITE 152
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228
Mailing Address - Country:US
Mailing Address - Phone:410-600-3773
Mailing Address - Fax:443-457-2404
Practice Address - Street 1:2 EAST ROLLING CROSSROADS
Practice Address - Street 2:SUITE 152
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:410-600-3773
Practice Address - Fax:443-457-2404
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR181962363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily