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Individual

EZINNE IROKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9950 W VAN BUREN ST STE 115, AVONDALE, AZ 85323-5318
(623) 218-6691
Mailing address
16642 W FILLMORE ST, GOODYEAR, AZ 85338-6145
(832) 503-4110

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP11672
AZ
363LF0000X
Family Nurse Practitioner
AP11672
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11672
AZ

Other

Enumeration date
05/11/2018
Last updated
01/12/2023
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