Provider Demographics
NPI:1407323710
Name:ONYIRIMBA, GENEVIEVE IJEOMA
Entity Type:Individual
Prefix:MRS
First Name:GENEVIEVE
Middle Name:IJEOMA
Last Name:ONYIRIMBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4579 N VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-2761
Mailing Address - Country:US
Mailing Address - Phone:162-332-2326
Mailing Address - Fax:
Practice Address - Street 1:4579 N VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-2761
Practice Address - Country:US
Practice Address - Phone:162-332-2326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZF10181249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily