=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760232508
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | UCHECHI ONYINYECHI EZE MOKA DNP, FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2024
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10410 N 35TH AVE STE 112-114
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85051-1303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-677-8282
-----------------------------------------------------
Fax | 888-316-1686
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 261 N ROOSEVELT AVE
-----------------------------------------------------
City | CHANDLER
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85226-2617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-677-8282
-----------------------------------------------------
Fax | 888-316-1686
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 306358
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | 306358
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------