Individual
OZIOMA ANANABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
525 CAMANO WAY, MCDONOUGH, GA 30253-8377
(770) 905-2257
Mailing address
525 CAMANO WAY, MCDONOUGH, GA 30253-8377
(770) 905-2257
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
227331
GA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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