Individual
AMAECHI GEORGE OZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1620 N CARPENTER RD STE D46, MODESTO, CA 95351-1161
(350) 216-5774
(209) 353-0479
Mailing address
1620 N CARPENTER RD STE D46, MODESTO, CA 95351-1161
(350) 216-5774
(209) 353-0479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95051033
CA
163WP0000X
Pain Management Registered Nurse
95010238
CA
261QP3300X
Pain Clinic/Center
95010238
CA
363LA2100X
Acute Care Nurse Practitioner
95010238
CA
363LF0000X
Family Nurse Practitioner
Primary
95010238
CA
363LP2300X
Primary Care Nurse Practitioner
95010238
CA
363LX0106X
Occupational Health Nurse Practitioner
95010238
CA
Other
Enumeration date
10/03/2018
Last updated
07/21/2025
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