Individual
CHRISTIAN CHIDOZIE OKOLOEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
824 N 99TH AVE STE 109, AVONDALE, AZ 85323-5327
(623) 907-1457
Mailing address
4419 HIDDEN OAKS WAY, HOUSTON, TX 77084-7397
(832) 343-5016
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
311843
AZ
363LA2200X
Adult Health Nurse Practitioner
848154
TX
363LG0600X
Gerontology Nurse Practitioner
311843
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
848154
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
311843
AZ
363LP2300X
Primary Care Nurse Practitioner
848154
TX
Other
Enumeration date
08/26/2018
Last updated
05/15/2026
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