Provider Demographics
NPI:1477881548
Name:UKAEGBU, ALICE CHINYERE (NP)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:CHINYERE
Last Name:UKAEGBU
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7514 EASTERN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1822
Mailing Address - Country:US
Mailing Address - Phone:202-829-4269
Mailing Address - Fax:202-829-4269
Practice Address - Street 1:8120 FENTON ST STE 204
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4753
Practice Address - Country:US
Practice Address - Phone:202-531-2607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN55058363L00000X
NY867940363LP0808X
NJ26NJ14865400363LP0808X
VA0024184379363LP0808X
MDR102922363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner