MR. JOSIAH NNADOZIE NWAOKWA


Address: 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034
Phone: 4807841514

MR. JOSIAH NNADOZIE NWAOKWA (NPI# 1053854638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053854638
Entity Type Individual
Full Name MR. JOSIAH NNADOZIE NWAOKWA
Practice Address 1035 E Jefferson Street
La Frontera -empact Spc
Phoenix
AZ 85034
Practice Telephone 4807841514
Mailing Telephone 4807841514
Enumeration Date 2016-11-30
Last Update Date 2016-11-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
TAP 9692 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1035 E JEFFERSON STREET
LA FRONTERA -EMPACT SPC
City PHOENIX
State AZ
Zip Code 85034

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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