Provider Demographics
NPI:1588303788
Name:ORIAKU, CHINASA EZINNE (DNP, PMHNP-BC,PMH-BC)
Entity type:Individual
Prefix:MRS
First Name:CHINASA
Middle Name:EZINNE
Last Name:ORIAKU
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC,PMH-BC
Other - Prefix:
Other - First Name:CHINASA
Other - Middle Name:EZINNE
Other - Last Name:OGBUKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15080 E BELTWOOD PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3725
Mailing Address - Country:US
Mailing Address - Phone:214-677-6119
Mailing Address - Fax:469-543-0059
Practice Address - Street 1:15080 E BELTWOOD PKWY STE 108
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3725
Practice Address - Country:US
Practice Address - Phone:214-677-6119
Practice Address - Fax:469-543-0059
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1078111363LP0808X
TX792775163W00000X
WY50671363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse