Organization
OPTIMIZED WELLNESS VIRTUAL AND HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY UKWUOMA (NP)
(602) 767-3900
Entity
Organization
Contact information
Practice address
20801 N ALEXIS AVE, MARICOPA, AZ 85138-6862
(623) 826-4757
Mailing address
20801 N ALEXIS AVE, MARICOPA, AZ 85138-6862
(623) 826-4757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/26/2021
Last updated
03/02/2026
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