Individual
KALU OKORIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16416 W DESERT MIRAGE DR, SURPRISE, AZ 85388-5491
(480) 360-1002
Mailing address
16416 W DESERT MIRAGE DR, SURPRISE, AZ 85388-5491
(480) 360-1002
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
284759
AZ
Other
Enumeration date
12/09/2022
Last updated
09/09/2024
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