Individual provider · Type 1 NPI
Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Marina Del Rey, CA
NPI number
1255786646
Active
Practice location
13400 Washington Blvd Ste 105
Marina Del Rey, CA 90292-5632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95004185 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95004185 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1255786646
Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC's National Provider Identifier is 1255786646, issued on May 4, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Marina Del Rey, CA. The record was last updated on Jul 28, 2023.