Fidelis Osondu Ebereonwu
Nurse Practitioner (Psychiatric/Mental Health)

Address: 924 W Jessica Ln, Phoenix, AZ 85041-3978
Phone: 4803328764

Fidelis Osondu Ebereonwu (NPI# 1962005850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1962005850
Entity Type Individual
Full Name Fidelis Osondu Ebereonwu
Gender Male
Practice Address 924 W Jessica Ln
AZ 85041-3978
Practice Telephone 4803328764
Mailing Address 924 W Jessica Ln
AZ 85041-3978
Mailing Telephone 4803328764
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-11-21
Last Update Date 2020-11-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers RNP250307 AZ

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 924 W JESSICA LN
State AZ
Zip Code 85041-3978

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558915843 Our Home of Unity LLC Counselor 6804 S 21st Dr, Phoenix, AZ 85041 2019-07-25
1447816590 Mbong Jerry Ngwese Physical Therapist 2546 West Bloch Rd, Phoenix, AZ 85041 2019-05-14
1588228373 Arizona Dental Management Dentist 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 2019-04-26
1447780135 Mesa Dental Arizona LLC Dentist 3320 W Southern Ave #111, Phoenix, AZ 85041 2017-06-14
1932564697 Job Elliott Counselor 4105 W Saint Charles Ave, Phoenix, AZ 85041 2015-12-23
1376914739 Black Family and Child Services Inc Community/Behavioral Health 6811 West 33rd Ave, Phoenix, AZ 85041 2015-10-12
1972900983 Love Living Life Assisted Living Facility 5737 S. 34th Ave, Phoenix, AZ 85041 2014-11-20
1891114641 Maricopa County Special Health Care District General Acute Care Hospital 5650 S 35th Ave, Phoenix, AZ 85041 2014-04-09
1265616213 Southern Dental Dentist 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 2007-12-27
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Zip Code 85041

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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.