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Individual

VICTOR AZUBIKE AMOBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP-PMH

Contact information

Practice address
169 W 133RD ST, NEW YORK, NY 10030-3301
(646) 762-4950
(646) 762-4955
Mailing address
2929 WOODLAND PARK DR, HOUSTON, TX 77082-2687
(713) 589-4122

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
679575
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R178048
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402802
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
679575
NURSING BOARD
CA
Enumeration date
08/06/2007
Last updated
11/22/2021
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