ELSIE OGE IZUNWANNE ADIBE APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1962960930- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA, 984314342
- Phone
- (253) 968-2252
Specialties & Taxonomies
Registered Nurse
License: TX #946868
Nurse Practitioner, Psych/Mental Health
License: TX #1028699
Nurse Practitioner, Psych/Mental Health
License: MA #RN2330477
Nurse Practitioner, Psych/Mental Health
Primary License: WA #AP61295115