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Prisca Ajonghage
Psychiatric/Mental Health Nurse Practitioner in Surprise, Arizona
NPI 1831783679

Prisca Ajonghage is a Psychiatric/Mental Health Nurse Practitioner based in Surprise, AZ and is specialized in Psychiatric/Mental Health. Prisca Ajonghage practices in Surprise, AZ. The NPI Number for Prisca Ajonghage is 1831783679 and holds a License No. 254054 (Arizona).

The current practice location address for Prisca Ajonghage is 17470 W Ventura St, Surprise, AZ and can be reached out via phone at 408-597-5067.

Location: 17470 W Ventura St, Surprise, AZ, 85388-7806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831783679
Provider Name
Prisca Ajonghage
Credential
Provider Entity Type
Individual
Gender
Female
Address
17470 W Ventura St, Surprise, AZ, 85388-7806
Phone Number
408-597-5067
Fax Number
Provider Enumeration Date
02/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17470 W Ventura St
City
Surprise
State
Arizona
Zip
85388-7806
Phone Number
408-597-5067
Fax Number
person
Provider Business Mailing Address Details
Address
17470 W Ventura St
City
Surprise
State
Arizona
Zip
85388-7806
Phone Number
408-597-5067
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
254054 (Arizona)
Definition
Definition to come...
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