EUDORA KRYSTLE NNEKA OSUALA MSN RN PMHNP-BC NPI 1417559907

NPI Information

NPI: 1417559907
Provider Name: EUDORA KRYSTLE, NNEKA OSUALA, MSN, RN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
10841 WHITE OAK AVE
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 581-6400
Get Directions

Eudora Krystle, Nneka Osuala, MSN, RN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Rancho Cucamonga, CA. Eudora Krystle, Nneka Osuala, MSN, RN, PMHNP-BC NPI is 1417559907. 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:

10841 WHITE OAK AVE
RANCHO CUCAMONGA, CA
ZIP 91730-817
Phone: (909) 581-6400

The NPI 1417559907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2020 and was last updated on 11/10/2020.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2017846	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: 4/28/2024

NPI Synchronization or Removal

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