Individual
DR. IZUNNA VINCENT EWUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
13400 WASHINGTON BLVD STE 105, MARINA DEL REY, CA 90292-5632
(310) 200-8957
Mailing address
13400 WASHINGTON BLVD STE 105, MARINA DEL REY, CA 90292-5632
(310) 200-8957
(310) 564-2295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95004185
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95004185
CA
Other
Enumeration date
05/04/2016
Last updated
07/28/2023
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