Provider Demographics
NPI:1548409394
Name:UDOH, RITA OBIANUJU (RN; BSN)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:OBIANUJU
Last Name:UDOH
Suffix:
Gender:F
Credentials:RN; BSN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9245 GREAT LAKES CIR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-3677
Mailing Address - Country:US
Mailing Address - Phone:937-436-3399
Mailing Address - Fax:937-436-2279
Practice Address - Street 1:9245 GREAT LAKES CIR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-3677
Practice Address - Country:US
Practice Address - Phone:937-436-3399
Practice Address - Fax:937-436-2279
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN . 311819163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical