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Individual

ESOSA NWAMBUONWO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1008 E MCDOWELL RD STE A, PHOENIX, AZ 85006-2603
(623) 208-7575
Mailing address
5428 W SAINT JOHN RD, GLENDALE, AZ 85308-5383

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
249241
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
249241
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15689642
AZ
Enumeration date
11/03/2021
Last updated
05/30/2024
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