Basic Information
| Provider Information | |||||||||
| NPI: | 1508263476 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANOZIE | ||||||||
| FirstName: | ULOMA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PMHNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23360 PRESCOTT | ||||||||
| Address2: | |||||||||
| City: | MORENO VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925572805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9098550064 | ||||||||
| FaxNumber: | 9095802165 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 E COOLEY DR STE 107 | ||||||||
| Address2: | |||||||||
| City: | COLTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923243941 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9093704700 | ||||||||
| FaxNumber: | 9095802165 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2014 | ||||||||
| LastUpdateDate: | 08/28/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 95008185 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.