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UDOKA DEBORAH ETI NP NPI 1093166142


NPI Information

NPI: 1093166142
Provider Name: UDOKA DEBORAH ETI, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
930 N MULLAN RD STE 1
SPOKANE VALLEY, WA
ZIP 99206
Phone: (509) 596-1174
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Udoka Deborah Eti, NP is a psychiatric/mental health nurse practitioner in Spokane Valley, WA with 9 years of experience. Udoka Deborah Eti, NP NPI is 1093166142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

930 N MULLAN RD STE 1
SPOKANE VALLEY, WA
ZIP 99206-004
Phone: (509) 596-1174

The NPI 1093166142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2016 and was last updated on 2/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyAP60864397WASHINGTONNo
2363LF0000XNurse PractitionerFamily736381TEXASNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAP60864397WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12125500MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.