Individual
EMILY KWAMBOKA OOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
706 W SOUTHERN AVE STE 109, MESA, AZ 85210-5000
(419) 775-4771
(361) 400-2358
Mailing address
1609 BANDED LEDGE DR, MANSFIELD, TX 76063-4718
(419) 775-4771
(361) 400-2358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
952785
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1138740
TX
Other
Enumeration date
10/08/2018
Last updated
03/12/2026
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