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Contact Information

NGOZI B AGORUA, NP-C
904 S ASTER AVE
BROKEN ARROW, OK74012-8833
 Phone: 405-410-2586
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NGOZI B AGORUA · (Female)

NPI # 1316515554
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 06/15/2021
Last updated 09/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1073489
  • OK Other U082527746 DRIVERS LICENSE
  • OK Other R0114832 RN
  • TX Other 1073489 TEXAS NURSING BOARD
Hospital affiliation(s)
  • ST JOHN MEDICAL CENTER INC - (Acute Care)
    1923 SOUTH UTICA AVENUE
    TULSA, OK 74104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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