MARVISE IJEOMA ODUAGU NPI 1679136220

NPI Information

NPI: 1679136220
Provider Name: MARVISE IJEOMA ODUAGU
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: QUESTCARE INTENSIVISTS PLLC

PECOS Registration: Yes

Address:
305 W COMMERCE ST APT 336
DALLAS, TX
ZIP 75208
Phone: (214) 597-4465
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Marvise Ijeoma Oduagu is an acute care nurse practitioner in Dallas, TX with 6 years of experience. Marvise Ijeoma Oduagu NPI is 1679136220. 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:

305 W COMMERCE ST APT 336
DALLAS, TX
ZIP 75208-985
Phone: (214) 597-4465

The NPI 1679136220 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 4/19/2019 and was last updated on 4/19/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	30020	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30020	OTHER	TEXAS	TEXAS BOARD OF NURSING

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: 11/14/2023

NPI Synchronization or Removal

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