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Individual

EMMANUEL ONYEANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
29675 N NORTH VALLEY PKWY UNIT 1077, PHOENIX, AZ 85085-0783
(404) 447-0127
Mailing address
1291 STANLEY RD NW, KENNESAW, GA 30152-4359
(770) 427-0147

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN263120
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
256918
AZ

Other

Enumeration date
05/10/2018
Last updated
07/19/2021
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