Provider Demographics
NPI:1881491306
Name:IDUDHE, ORUARO NELSON (RN)
Entity type:Individual
Prefix:MR
First Name:ORUARO
Middle Name:NELSON
Last Name:IDUDHE
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 W HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29404-4704
Mailing Address - Country:US
Mailing Address - Phone:773-600-2845
Mailing Address - Fax:
Practice Address - Street 1:204 W HILL BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29404-4704
Practice Address - Country:US
Practice Address - Phone:773-600-2845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA821227163WD0400X, 163WC1600X, 163WM0705X, 163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical