Individual
OSAGINWEN KINGSLEY AYIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3301 E THOMAS RD, PHOENIX, AZ 85018-7302
(602) 899-7774
(602) 899-7877
Mailing address
3301 E THOMAS RD, PHOENIX, AZ 85018-7302
(602) 899-7774
(602) 899-7877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8375
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230287
—
AZ
Enumeration date
01/06/2016
Last updated
06/16/2018
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