| Psych Zenhealth Pllc | |
|
1095 E Indian School Rd Ste 700 Phoenix AZ 85014-4846 | |
| (623) 225-7591 | |
| (623) 230-3726 |
| Full Name | Psych Zenhealth Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1095 E Indian School Rd Ste 700, Phoenix, Arizona |
| Authorized Official Name and Position | Josiah Nnadozie Nwaokwa (NURSE PRACTITIONER) |
| Authorized Official Contact | 6232257591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Zenhealth Pllc 1095 E Indian School Rd Ste 700 Phoenix AZ 85014-4846 Ph: (623) 225-7591 | Psych Zenhealth Pllc 1095 E Indian School Rd Ste 700 Phoenix AZ 85014-4846 Ph: (623) 225-7591 |
| NPI Number | 1205302270 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/26/2021 |
| Certification Date | 10/26/2021 |
| Medicare PECOS PAC ID | 8921341975 |
|---|---|
| Medicare Enrollment ID | O20190515002038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205302270 | NPI | - | NPPES |
| 223013 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Josiah Nwaokwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053854638 PECOS PAC ID: 0941567408 Enrollment ID: I20171208000766 |
| Provider Name | Francisca Adaobi Onyemize |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588249973 PECOS PAC ID: 0840692935 Enrollment ID: I20210712004040 |
| Provider Name | Akaninyene Etukudoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205597887 PECOS PAC ID: 9931594397 Enrollment ID: I20220322000458 |
| Provider Name | Annalyn Jalie Rasul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043923139 PECOS PAC ID: 2264807106 Enrollment ID: I20230407000530 |
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