NPI 1316515554 · live from the CMS NPI Registry
Ngozi Bridget Agorua, NP-C
Nurse Practitioner, Family in Broken Arrow, OK. National Provider Identifier 1316515554, active.
NPI record
| NPI | 1316515554 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 904 S Aster Ave, Broken Arrow, OK 74012 |
| Practice phone | 405-410-2586 |
| Mailing address | 11511 Shadow Creek Pkwy, Pearland, TX 77584 |
| Enumerated | June 15, 2021 |
| Last updated | September 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 1073489 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.