Individual provider · Type 1 NPI
Kenneth Ezenwa, RN
Psychiatric/Mental Health Nurse Practitioner · Canyon Country, CA
NPI number
1003379959
Active
Practice location
17467 Honey Maple St
Canyon Country, CA 91387-6870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95080178 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95080178 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Canyon Country
About NPI 1003379959
Kenneth Ezenwa, RN's National Provider Identifier is 1003379959, issued on Apr 8, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Canyon Country, CA. The record was last updated on Feb 8, 2022.