Ewudo, Izunna Vincent

Ewudo, Izunna Vincent is an individual health care provider with primary practice located at 13400 Washington Blvd Ste 105 , Marina Del Rey CA 90292-5632. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ewudo, Izunna Vincent can be contacted via phone (310) 200-8957.

Contact Information

Primary practice address
13400 Washington Blvd Ste 105 Marina Del Rey CA 90292-5632
Phone: (310) 200-8957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95004185 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95004185 California

Profile Details

NPI number 1255786646
LBN Legal business name Ewudo, Izunna Vincent
Credentials DNP, FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2016
Last updated Jul 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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