Individual provider · Type 1 NPI

Mildred K. Omoongeh, NP

Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ

NPI number 1760945752 Active

Practice location

1835 W Missouri Ave
Phoenix, AZ 85015-3046

Mailing address

2420 W Beverly Rd
Phoenix, AZ 85041-7625

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X855808 (TX)
Family Nurse Practitioner 363LF0000X231224 (AZ)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X231224 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1760945752

Mildred K. Omoongeh, NP's National Provider Identifier is 1760945752, issued on Apr 8, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 12, 2024.