ANGELA CHUKWUDOLUE


Address: 2145 W Southern Ave, Mesa, AZ 85202-4715
Phone: 4808353000

ANGELA CHUKWUDOLUE (NPI# 1588624027) 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) 1588624027
Entity Type Individual
Full Name ANGELA CHUKWUDOLUE
Credential NP
Practice Address 2145 W Southern Ave
Mesa
AZ 85202-4715
Mailing Address 2510 W Dunlap Ave
Ste 290
Phoenix
AZ 85021-2759
Practice Telephone 4808353000
Practice Fax Number 4805126257
Mailing Telephone 6027890344
Mailing Fax Number 6027898389
Enumeration Date 2006-03-27
Last Update Date 2020-02-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP1136 AZ Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP1137 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 536914 05
AZ MEDICARE PTAN Z128358 01

Office Location

Street Address 2145 W SOUTHERN AVE
City MESA
State AZ
Zip Code 85202-4715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679533889 Gregory Lauver Internal Medicine 2145 W Southern Ave, Mesa, AZ 85202-4715 2006-03-23
1568901221 Carmen Lombardo Nurse Practitioner 2145 W Southern Ave, 3rd Floor, Mesa, AZ 85202-4715 2017-02-14
1780739631 Banner Desert Medical Center Skilled Nursing Facility 2145 W Southern Ave, Mesa, AZ 85202-4715 2007-01-23
1598873036 Robert Hamilton Groves Jr. Internal Medicine 2145 W Southern Ave, Mesa, AZ 85202-4715 2006-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275173536 Samuel A Wolde Counselor Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 2020-01-14
1912549171 Lauren Barbara Loges Occupational Therapist 2225 E. Southern Avenue, Mesa, AZ 85202 2019-10-09
1245724822 Medsource Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 2018-06-18
1457843310 Jay Douglas Baumgardner Physical Therapist 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 2018-06-05
1144746215 Alyson Fix Physician Assistant 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 2017-08-20
1194108852 Robert Dale Labrum Counselor 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 2015-06-30
1114325677 John David Shull Jr. Physician Assistant 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 2014-12-16
1316356207 Embry Womens Health LLC Nurse Practitioner 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 2014-08-05
1619312899 Fiza Naueed Khan Internal Medicine 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 2013-05-01
1487903373 Jodi Lynn Mealer Pharmacist 1951 W. Baseline Rd., Mesa, AZ 85202 2012-09-06
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558986224 Jodi E Bray Nurse Practitioner 244 N Extension Rd, Mesa, AZ 85201-6300 2020-06-09
1023666146 Nancy Fulmore Nurse Practitioner 6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754 2019-09-02
1417518747 Mary Eileen Kumah Russell Nurse Practitioner 6644 E Baywood Ave, Mesa, AZ 85206-1747 2019-06-26
1467901769 Ampili Umayamma Nurse Practitioner 5252 E Main St, Mesa, AZ 85205-8022 2016-09-27
1568823821 Nicole Renee Mott Nurse Practitioner 455 E 4th Pl, Mesa, AZ 85203-7101 2016-03-15
1730579426 Cynthia Devine Nurse Practitioner 7165 E University Dr Ste 183, Mesa, AZ 85207-6415 2015-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104425123 Erin Jean Mcmanus-tomanek Nurse Practitioner 12851 N 142nd Ave, Surprise, AZ 85379-9502 2020-10-21
1154928463 Willie Sellers Nurse Practitioner 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 2020-10-08
1760090427 Debra Shannon Witthar Nurse Practitioner 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 2020-07-20
1255955506 Christy J Holloway Nurse Practitioner 2645 E Southern Ave, Tempe, AZ 85282-7649 2020-06-02
1013552124 Alliance With The Covenant of The Trinity Arizona Inc Nurse Practitioner 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 2019-11-12
1184197691 Waheed Olawoyin Olabode Nurse Practitioner 12853 S 184th Ave, Goodyear, AZ 85338-2642 2019-01-08
1508381880 Marcie Marie Camblin Nurse Practitioner 16551 N Naegel Dr, Surprise, AZ 85374-5411 2017-08-08
1508105727 Geriatric Health Services, Plc Nurse Practitioner 1013 W Longhorn Rd, Payson, AZ 85541-4282 2013-02-07
1194070227 Debra Rouse Haber Nurse Practitioner 755 S Grapevine Loop, Benson, AZ 85602-7430 2012-07-15
1346504818 Your Nurse Practitioner LLC Nurse Practitioner 6261 Boothwyn St, Prescott Valley, AZ 86314-6726 2012-06-29
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Competitor

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City MESA
Zip Code 85202

Improve Information

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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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