Individual provider · Type 1 NPI
Grace Chidinma Ezenwaka, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Tucson, AZ
NPI number
1023906997
Active
Practice location
250 S Toole Ave Ste B
Tucson, AZ 85701-1814
Mailing address
6311 W Magdalena Ln
Laveen, AZ 85339-5483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 262215 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1023906997
Grace Chidinma Ezenwaka, PMHNP's National Provider Identifier is 1023906997, issued on Jun 27, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tucson, AZ. The record was last updated on Aug 18, 2025.