QUEEN A IGBONAGWAM PMHNP NPI 1306526058

NPI Information

NPI: 1306526058
Provider Name: QUEEN A IGBONAGWAM, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1039 E HELMICK ST
CARSON, CA
ZIP 90746
Phone: (310) 293-7764
Get Directions

Queen A Igbonagwam, PMHNP is a psychiatric/mental health nurse practitioner in Carson, CA. Queen A Igbonagwam, PMHNP NPI is 1306526058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1039 E HELMICK ST
CARSON, CA
ZIP 90746-039
Phone: (310) 293-7764
Fax: (310) 632-4984

The enumeration date for this NPI number is 7/18/2023 and was last updated on 7/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		668489	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95020434	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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