Grace Chidinma Ezenwaka, PMHNP
Nurse Practitioner, Psych/Mental Health in Tucson, AZ. Individual provider (NPI-1).
NPI number1023906997
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1023906997
- Entity type
- Individual (NPI-1)
- Name
- Grace Chidinma Ezenwaka
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2025
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 262215 | AZ | Yes |
Practice location
250 S Toole Ave Ste BTucson, AZ 85701-1814
Phone 520-617-5500
Mailing address
6311 W Magdalena LnLaveen, AZ 85339-5483
Phone 480-749-9098
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