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

Prisca Ajonghage

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1831783679

Prisca Ajonghage is a Psychiatric/Mental Health Nurse Practitioner in Surprise, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021

Practice location Address checks out

17470 W Ventura St
Surprise, AZ 85388-7806
Phone: (408) 597-5067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 254054 (AZ)

Record details

NPI number1831783679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 23, 2021
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021
Mailing address17470 W Ventura St, Surprise, AZ 85388-7806

Other providers in Surprise