Individual
IFEANYI EMMANUEL IGBOANUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH, MSN, AGNP-C
Contact information
Practice address
15351 W BELL RD, SURPRISE, AZ 85374-4580
(480) 964-2273
(623) 214-5214
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 974-6721
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP10856
AZ
363LG0600X
Gerontology Nurse Practitioner
AP10856
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372652
—
AZ
Enumeration date
01/03/2018
Last updated
12/22/2023
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