Healthcare Provider Details

I. General information

NPI: 1316856693
Provider Name (Legal Business Name): MENDLY REGISTERED NURSING GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 IBIS RD
OAKLEY CA
94561-3098
US

IV. Provider business mailing address

1968 S COAST HWY STE 140
LAGUNA BEACH CA
92651-3681
US

V. Phone/Fax

Practice location:
  • Phone: 415-370-8412
  • Fax:
Mailing address:
  • Phone: 415-370-8412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: REMIGUS CHIMEZIE NWAOKORO
Title or Position: PRESIDENT
Credential: DNP, APRN, PMHNP-BC
Phone: 415-370-8412