Mrs. Ntaobasi Patrick Udeh, AGACNP-BC
Mrs. Ntaobasi Patrick Udeh, AGACNP-BC is a Nurse Practitioner in Hanover, Maryland. Qualified in 2013, 13 years ago. Practices with Ivy Medical Group PLLC, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.
- Years since qualifying
- 13
- Licensed in
- MD
- In the registry since
- 2013
Practice location Address checks out
6158 Fairbourne CtHanover, MD 21076-1000
Phone: (240) 856-0529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence R229826 (MD) |
|---|
Record details
| NPI number | 1578990693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2013 |
| Last updated in NPPES | June 29, 2026 |
| Certification date | June 29, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Ivy Medical Group Pllc — 121 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 8 on file with Medicare |
Other providers in Hanover
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Marathon Health LLC
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-
Beatrice Bih Muma, NP
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-
Laniqua Z. Richardson, FNP-C
7556 Teague Rd, Hanover, MD 21076-1213 · (410) 595-0175
-
Michelle A Tucker-Jones, FNP-BC, PMHNP-BC
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