Individual
CHIDOZIE C EZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1191 W DESERT VALLEY DR, SAN TAN VALLEY, AZ 85143-3456
(480) 231-4113
Mailing address
1191 W DESERT VALLEY DR, SAN TAN VALLEY, AZ 85143-3456
(480) 231-4113
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11710
AZ
363LP2300X
Primary Care Nurse Practitioner
AP11710
AZ
Other
Enumeration date
08/21/2018
Last updated
02/17/2022
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