Individual provider · Type 1 NPI
Fidelis Osondu Ebereonwu
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1962005850
Active
Practice location
924 W Jessica Ln
Phoenix, AZ 85041-3978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RNP250307 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1962005850
Fidelis Osondu Ebereonwu's National Provider Identifier is 1962005850, issued on Nov 21, 2020. 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 Nov 21, 2020.