Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 95010561 | CA |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 95010561 | CA |
NPI | 1013480813 |
---|---|
Provider Name | Nneka Patricia Njoku |
First Address | Hawthorne, CA 90250-5118 |
Second Address | Los Angeles, CA 90011-5622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2019 |
Last Update Date | 14/12/2021 |