Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Oghenero Ewoma Olori

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1689441636

Oghenero Ewoma Olori is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Mind 247 Practice LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

3411 N 16th St
Phoenix, AZ 85016-7150
Phone: (602) 576-2873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 301033 (AZ)

Record details

NPI number1689441636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mind 247 Practice Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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