Individual
ANDREA IHEOMA AZORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 N GALLOWAY AVE STE 116, MESQUITE, TX 75150-5737
(972) 426-5426
(459) 646-8812
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1022492
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2019
Last updated
04/25/2022
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