Provider Demographics
NPI:1609762434
Name:OGEMDI-ISIGUZO, UDODIRI JENNIFER (FNP)
Entity type:Individual
Prefix:
First Name:UDODIRI
Middle Name:JENNIFER
Last Name:OGEMDI-ISIGUZO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14498 E ELK PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-6418
Mailing Address - Country:US
Mailing Address - Phone:720-400-9292
Mailing Address - Fax:
Practice Address - Street 1:14498 E ELK PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-6418
Practice Address - Country:US
Practice Address - Phone:720-400-9292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0999436-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily