Individual
DR. OLUCHI L EZEUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C
Contact information
Practice address
9700 N SAGUARO BLVD STE 100, FOUNTAIN HILLS, AZ 85268-6242
(602) 671-7990
Mailing address
9700 N SAGUARO BLVD STE 100, FOUNTAIN HILLS, AZ 85268-6242
(602) 671-7990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A004893
AR
363L00000X
Nurse Practitioner
A810623
MS
363LG0600X
Gerontology Nurse Practitioner
Primary
AP11482
AZ
Other
Enumeration date
10/06/2014
Last updated
05/05/2021
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