Omoongeh, Mildred K

Omoongeh, Mildred K is an individual health care provider with primary practice located at 1835 W Missouri Ave , Phoenix AZ 85015-3046. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Omoongeh, Mildred K can be contacted via phone (602) 230-0777.

Contact Information

Primary practice address
1835 W Missouri Ave Phoenix AZ 85015-3046
Phone: (602) 230-0777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 855808 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 231224 Arizona

Profile Details

NPI number 1760945752
LBN Legal business name Omoongeh, Mildred K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2019
Last updated May 17th, 2021 - about 4 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.

Request for update

Popular Providers