ANGELA CHUKWUDOLUE (NPI# 1588624027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 536914 | 05 | |
AZ | MEDICARE PTAN | Z128358 | 01 |
Street Address |
2145 W SOUTHERN AVE |
City | MESA |
State | AZ |
Zip Code | 85202-4715 |
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 |
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 |
Find all providers in zip 85202 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ANGELA CHUKWUDOLUE.
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.