Provider Demographics
NPI:1548714330
Name:EBERE, OGECHI (APRN FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:OGECHI
Middle Name:
Last Name:EBERE
Suffix:
Gender:F
Credentials:APRN FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:OGECHI
Other - Middle Name:N
Other - Last Name:EBERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:501 W RAY RD STE 4-5
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-7284
Mailing Address - Country:US
Mailing Address - Phone:480-462-0956
Mailing Address - Fax:
Practice Address - Street 1:501 W RAY RD STE 4-5
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7284
Practice Address - Country:US
Practice Address - Phone:480-462-0956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP9613363L00000X
NM61102363L00000X, 363LP0808X
MTNUR-APRN-LIC-161624363LP0808X, 363LP0808X
TXAP131699363LP0808X
CT011236363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner