Individual
IFEOMA NWAMBUONWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-2000
Mailing address
17302 N 22ND WAY, PHOENIX, AZ 85022-2255
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
246621
AZ
Other
Enumeration date
11/26/2020
Last updated
01/14/2021
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