Provider Demographics
NPI:1972234060
Name:UKEGBU, CHERYL U (RN)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:U
Last Name:UKEGBU
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 1:222 SUMMIT AVE E APT 105
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5658
Mailing Address - Country:US
Mailing Address - Phone:917-443-0633
Mailing Address - Fax:
Practice Address - Street 1:1460 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-7329
Practice Address - Country:US
Practice Address - Phone:120-642-2536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR197151163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse