Provider Demographics
NPI:1598569824
Name:ONYEKWERE C. ANYANWU REGISTERED NURSING RN MSN PHN PMHNP-BC INC
Entity type:Organization
Organization Name:ONYEKWERE C. ANYANWU REGISTERED NURSING RN MSN PHN PMHNP-BC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ONYEKWERE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-617-5098
Mailing Address - Street 1:1215 W 160TH ST
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-4409
Mailing Address - Country:US
Mailing Address - Phone:903-617-5098
Mailing Address - Fax:
Practice Address - Street 1:1215 W 160TH ST
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-4409
Practice Address - Country:US
Practice Address - Phone:903-617-5098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty