Provider Demographics
NPI:1770734121
Name:UDE, ASSUMPTA ONYINYE
Entity type:Individual
Prefix:MRS
First Name:ASSUMPTA
Middle Name:ONYINYE
Last Name:UDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 GEORGIA AVE NW
Mailing Address - Street 2:MCHL-MAO-C
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307-0003
Mailing Address - Country:US
Mailing Address - Phone:202-782-7341
Mailing Address - Fax:202-782-5007
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:INTEGRATIVE CARDIAC HEALTH PROJECT, BLDG. 52, 2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0003
Practice Address - Country:US
Practice Address - Phone:202-782-3439
Practice Address - Fax:202-782-0707
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2008005529363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner