Individual
JANE-FRANCES NDEMANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18168 W WIND SONG AVE, GOODYEAR, AZ 85338-5063
(602) 614-8601
Mailing address
18168 W WIND SONG AVE, GOODYEAR, AZ 85338-5063
(602) 614-8601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP8155
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
AP8155
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TAP8155
—
AZ
Enumeration date
09/16/2015
Last updated
05/20/2016
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