Individual
MERCY NYECHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9808 VENICE BLVD STE 505, CULVER CITY, CA 90232
(310) 237-0461
(310) 945-3356
Mailing address
9808 VENICE BLVD STE 505, CULVER, CA 90232
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
815193
CA
363LA2100X
Acute Care Nurse Practitioner
95007306
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95007306
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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