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NPI Code Detail

MEDICARE: NELSON A AGBAGWU LVN

MEDICARE: NELSON A AGBAGWU LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse744825CA

General Provider Information

NPI Number : 1427909761
Entity Type Code : Individual
Provider Name (Legal Business Name) : NELSON A AGBAGWU LVN
Provider Business Mailing Address
First Line : 3933 HARRISON ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3523
Country : US
Telephone Number : 833-391-0505
Fax Number : 951-358-7401
Provider Business Practice Location Address
First Line : 3933 HARRISON ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3523
Country : US
Telephone Number : 833-391-0505
Fax Number : 951-358-7401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ NELSON A AGBAGWU LVN” Practice Location

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