Individual
OGECHI ANN OHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
Mailing address
2626 DEERWOOD HEIGHTS LN, MANVEL, TX 77578-2058
(414) 659-3333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP143724
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32195
—
TX
Enumeration date
11/02/2020
Last updated
11/17/2023
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