Provider Demographics
NPI:1144063686
Name:OSUCHUKWU, NKECHI (PMHNO)
Entity type:Individual
Prefix:
First Name:NKECHI
Middle Name:
Last Name:OSUCHUKWU
Suffix:
Gender:F
Credentials:PMHNO
Other - Prefix:
Other - First Name:NKECHI
Other - Middle Name:
Other - Last Name:UCHENDU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24433 E FORD DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6172
Mailing Address - Country:US
Mailing Address - Phone:720-474-9005
Mailing Address - Fax:
Practice Address - Street 1:255 S ROUTT ST STE 250
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2214
Practice Address - Country:US
Practice Address - Phone:801-821-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999659-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health