Individual provider · Type 1 NPI
Queen A. Igbonagwam, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Carson, CA
NPI number
1306526058
Active
Practice location
1039 E Helmick St
Carson, CA 90746-3039
Fax (310) 632-4984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 668489 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95020434 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1306526058
Queen A. Igbonagwam, PMHNP's National Provider Identifier is 1306526058, issued on Jul 18, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Carson, CA. The record was last updated on Jul 18, 2023.