CHIDOZIE C EZE


Address: 1191 W Desert Valley Dr, San Tan Valley, AZ 85143-3456
Phone: 4802314113

CHIDOZIE C EZE (NPI# 1174003909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174003909
Entity Type Individual
Full Name CHIDOZIE C EZE
Credential FNP
Practice Address 1191 W Desert Valley Dr
San Tan Valley
AZ 85143-3456
Practice Telephone 4802314113
Mailing Telephone 4802314113
Enumeration Date 2018-08-21
Last Update Date 2018-08-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP11710 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1191 W DESERT VALLEY DR
City SAN TAN VALLEY
State AZ
Zip Code 85143-3456

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NPI Name Taxonomy Address Enumeration
1619457785 Shalom Behavioral Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 2018-08-18
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1942744081 Arizona Dental Professionals, PC Dentist 545 E Hunt Hwy, San Tan Valley, AZ 85143 2016-12-08
1285000786 Jared Scott Snyder Physical Therapy Assistant 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 2015-08-19
1801289236 Tiffany Battle Behavioral Analyst 2626 E. Manuel Road, San Tan Valley, AZ 85143 2015-03-10
1437541091 Kelly Denise Griffin Registered Nurse 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 2015-02-19
1528496031 Casey Manzanedo Licensed Practical Nurse 35900 E Charbray Dr., San Tan Valley, AZ 85143 2013-10-18
1891136461 Lisa Kay Scarpa Home Health Aide 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 2013-07-11
1790969426 Emilia Elizabeth Gomez Vieytez Pediatrics 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 2007-12-17
1205814621 Janet F Rinehart Family Medicine 30046 N Varnum Rd, San Tan Valley, AZ 85143 2006-01-05
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1700407426 Joan N Nunoo Nurse Practitioner 3852 E Santa Fe Ln, Gilbert, AZ 85297-8529 2020-05-04
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Competitor

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City SAN TAN VALLEY
Zip Code 85143

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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