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CHINELO UNOMA UGHANZE PMHNP-BC
Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1942713086
Individual Registrant: CHINELO UNOMA UGHANZE PMHNP-BC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
214 W MAIN ST SOMERTON, AZ 85350-6329 US
Tel: 928-627-1120 Fax: 928-722-6113
Tel: 928-627-1120 Fax: 928-722-6113
Contact information for business:
PO BOX 617 SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001 Fax: 928-722-6113
Tel: 928-236-8001 Fax: 928-722-6113
Registration Information:
NPI: 1942713086
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health | AZ | 223647 |
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | TX | AP135188 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
