Individual
PAUL OKORONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7075 W BELL RD STE A-1, GLENDALE, AZ 85308-8546
(602) 348-1338
(602) 297-6566
Mailing address
7655 W MARY JANE LN, PEORIA, AZ 85382-3842
(602) 348-1338
(602) 297-6566
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
241990
AZ
Other
Enumeration date
06/06/2020
Last updated
05/09/2024
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