| Well Fair Care International | |
|
1095 E Indian School Rd Ste 700 Phoenix AZ 85014-4846 | |
| (602) 515-9893 | |
| (623) 230-3726 |
| Full Name | Well Fair Care International |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1095 E Indian School Rd Ste 700, Phoenix, Arizona |
| Authorized Official Name and Position | Josiah Nnadozie Nwaokwa (CEO) |
| Authorized Official Contact | 6025159893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Fair Care International 1095 E Indian School Rd Ste 700 Phoenix AZ 85014-4846 Ph: (602) 515-9893 | Well Fair Care International 1095 E Indian School Rd Ste 700 Phoenix AZ 85014-4846 Ph: (602) 515-9893 |
| NPI Number | 1053905919 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 07/02/2021 |
| Certification Date | 07/02/2021 |
| Medicare PECOS PAC ID | 4385046465 |
|---|---|
| Medicare Enrollment ID | O20210712003628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053905919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral 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 | Chynwe Ahumaraeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942572540 PECOS PAC ID: 3678732740 Enrollment ID: I20180913001627 |
| Provider Name | Chidozie Eze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174003909 PECOS PAC ID: 7810228459 Enrollment ID: I20191011000966 |
| Provider Name | Paulette D Winsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568054195 PECOS PAC ID: 7012324817 Enrollment ID: I20210323001094 |
| 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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