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NPI Code Detail

MEDICARE: MR. JOSIAH NNADOZIE NWAOKWA

MEDICARE: MR. JOSIAH NNADOZIE NWAOKWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerTAP 9692AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053854638
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSIAH NNADOZIE NWAOKWA
Provider Business Mailing Address
First Line : 1095 E INDIAN SCHOOL RD STE 700
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4846
Country : US
Telephone Number : 623-225-7591
Fax Number : 623-230-3726
Provider Business Practice Location Address
First Line : 1095 E INDIAN SCHOOL RD STE 700
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4846
Country : US
Telephone Number : 623-225-7591
Fax Number : 623-230-3726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 11/09/2021

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