Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. TINA BETTY EZEOLISAH
Active
Individual
DR. TINA BETTY EZEOLISAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 217223
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
05031
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0002066-C-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN217223
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2345725
MA
Other
Enumeration date
07/15/2016
Last updated
12/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers