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Ebenezer Bodude, RN
Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona
NPI 1275900060

Ebenezer Bodude is a Psychiatric/Mental Health Nurse Practitioner based in Peoria, AZ and is specialized in Psychiatric/Mental Health. Ebenezer Bodude practices in Phoenix, AZ and has the professional credentials of RN. The NPI Number for Ebenezer Bodude is 1275900060 and holds a License No. 298440 (Arizona).

The current practice location address for Ebenezer Bodude is 11225 N 28Th Dr, Phoenix, AZ and can be reached out via phone at 602-699-6999.

Location: 11225 N 28Th Dr, Phoenix, AZ, 85383-6018
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Provider Profile Details
NPI Number
1275900060
Provider Name
Ebenezer Bodude
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
11225 N 28Th Dr, Phoenix, AZ, 85383-6018
Phone Number
602-699-6999
Fax Number
Provider Enumeration Date
08/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11225 N 28Th Dr
City
State
Zip
85029-5606
Phone Number
602-699-6999
Fax Number
person
Provider Business Mailing Address Details
Address
11225 N 28Th Dr
City
State
Zip
85029-5606
Phone Number
602-699-6999
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
298440 (Arizona)
Definition
Definition to come...
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