Individual provider · Type 1 NPI
Grace O. Adeagbo
Psychiatric/Mental Health Nurse Practitioner · Torrance, CA
NPI number
1992986731
Active
Practice location
2204 Torrance Blvd Ste 102
Torrance, CA 90501-0502
Fax (424) 488-2202
Mailing address
9628 Adoree St
Downey, CA 90242-4900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 635727 (CA) |
| Home Health Registered Nurse | 163WH0200X | 635727 (CA) |
| Family Nurse Practitioner | 363LF0000X | 95005218 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95005218 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1992986731
Grace O. Adeagbo's National Provider Identifier is 1992986731, issued on Nov 20, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Torrance, CA. The record was last updated on Jun 25, 2021.