Eti, Udoka Deborah
Eti, Udoka Deborah is an sole proprietor health care provider with primary practice located at 930 N Mullan Rd Ste 1 , Spokane Valley WA 99206-4004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Eti, Udoka Deborah can be contacted via phone (509) 596-1174.Contact Information
Primary practice address
930 N Mullan Rd Ste 1
Spokane Valley WA 99206-4004
Phone: (509) 596-1174
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60864397 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 736381 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP60864397 | Washington |
Profile Details
NPI number | 1093166142 |
---|---|
LBN Legal business name | Eti, Udoka Deborah |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 29th, 2016 |
Last updated | Feb 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093166142 | NPPES |
Washington | MEDICAID | 2125500 |
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