Individual provider · Type 1 NPI

Tambari Nulog Esaenwi, NP

Nurse Practitioner · Los Angeles, CA

NPI number 1619021466 Active

Practice location

4618 Fountain Ave
Los Angeles, CA 90029-1977

Mailing address

950 S Grand Ave Fl 2
Los Angeles, CA 90015-3999

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X461352 (CA)
Nurse Practitioner Primary 363L00000X8465 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619021466

Tambari Nulog Esaenwi, NP's National Provider Identifier is 1619021466, issued on Jan 22, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 25, 2020.