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Prisca Ajonghage

Nurse Practitioner, Psych/Mental Health in Surprise, AZ. Individual provider (NPI-1).

NPI number1831783679
StatusActive
Last updated in NPPESFeb 23, 2021

Details

NPI
1831783679
Entity type
Individual (NPI-1)
Name
Prisca Ajonghage
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 23, 2021
Certification date
Feb 23, 2021
Last updated
Feb 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health254054AZYes

Practice location

17470 W Ventura St
Surprise, AZ 85388-7806

Phone 408-597-5067

Mailing address

17470 W Ventura St
Surprise, AZ 85388-7806

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Surprise, AZ

All 45 Psychiatric/Mental Health Nurse Practitioner providers in Surprise · All 3,078 providers in Surprise

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