Chukwudolue, Angela

Chukwudolue, Angela is an individual health care provider with primary practice located at 2145 W Southern Ave , Mesa AZ 85202-4715. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Chukwudolue, Angela can be contacted via phone (480) 835-3000.

Contact Information

Primary practice address
2145 W Southern Ave Mesa AZ 85202-4715
Phone: (480) 835-3000
Fax: (480) 512-6257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP1136 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP1137 Arizona

Profile Details

NPI number 1588624027
LBN Legal business name Chukwudolue, Angela
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588624027 NPPES
Arizona MEDICAID 536914
Arizona Other Z128358

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