Healthcare Provider Details

I. General information

NPI: 1821243544
Provider Name (Legal Business Name): HELEN NNEKA NWANGWU R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELEN NNEKA AKAMNONU F.N.P, PMHNP-BC

II. Dates (important events)

Enumeration Date: 11/21/2008
Last Update Date: 12/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 E 7TH ST
LONG BEACH CA
90822-5201
US

IV. Provider business mailing address

5901 E 7TH ST
LONG BEACH CA
90822-5201
US

V. Phone/Fax

Practice location:
  • Phone: 562-826-8000
  • Fax: 562-826-5941
Mailing address:
  • Phone: 562-826-8000
  • Fax: 562-826-5941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number19424
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number19424
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number703973
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: