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Individual

MUNACHI QUEENA EZENWATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, PMHNP

Contact information

Practice address
4045 SPENCER ST STE 300, LAS VEGAS, NV 89119-9304
(702) 486-3800
(702) 486-5550
Mailing address
PO BOX 3055 SAINT ROSE PARKWAY, HENDERSON, NV 89077
(630) 795-9110

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
824487
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
824487
NV

Other

Enumeration date
02/02/2020
Last updated
02/23/2026
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