Provider Demographics
NPI:1295348829
Name:ARIZE, JUSTINA AMAKA (NP)
Entity type:Individual
Prefix:MRS
First Name:JUSTINA
Middle Name:AMAKA
Last Name:ARIZE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 RIVER CANYON LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-2179
Mailing Address - Country:US
Mailing Address - Phone:214-735-5292
Mailing Address - Fax:
Practice Address - Street 1:2113 RIVER CANYON LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-2179
Practice Address - Country:US
Practice Address - Phone:214-735-5292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144347363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care