Provider Demographics
NPI:1841846342
Name:UCHEGBU, DAVINA GLORIA (DNP)
Entity type:Individual
Prefix:DR
First Name:DAVINA
Middle Name:GLORIA
Last Name:UCHEGBU
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8017 FEATHERS NEST WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-9606
Mailing Address - Country:US
Mailing Address - Phone:408-551-9497
Mailing Address - Fax:
Practice Address - Street 1:8017 FEATHERS NEST WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-9606
Practice Address - Country:US
Practice Address - Phone:408-551-9497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA705065163W00000X
CA95017189363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse