Individual
BENADETTE N NGAMELUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2927 N 7TH AVE, PHOENIX, AZ 85013-4102
(602) 406-3153
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71310
AZ
207Q00000X
Family Medicine Physician
TEP8920
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470553011-00
—
NE
Enumeration date
06/30/2020
Last updated
02/24/2025
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