Organization
BLOSSOM PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINONYELUM NZE NP (CEO)
(409) 356-9778
Entity
Organization
Contact information
Practice address
425 CIRBY WAY, ROSEVILLE, CA 95678-4235
(409) 356-9778
Mailing address
425 CIRBY WAY, ROSEVILLE, CA 95678-4235
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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