Provider Demographics
NPI:1407182983
Name:OZUAH, OBIANAMMA N (ANP)
Entity Type:Individual
Prefix:
First Name:OBIANAMMA
Middle Name:N
Last Name:OZUAH
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:OBIANAMMA
Other - Middle Name:
Other - Last Name:IFEMESIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:10695 ASTORIA DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9063
Mailing Address - Country:US
Mailing Address - Phone:214-872-1827
Mailing Address - Fax:
Practice Address - Street 1:10695 ASTORIA DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-9063
Practice Address - Country:US
Practice Address - Phone:214-872-1827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304369363LA2200X
TX123918363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health