MRS. PRISCILLA NGOZI AMALU


Address: 12319 Glen Creek Rd, Cerritos, CA 90703-1925
Phone: 5629659897

MRS. PRISCILLA NGOZI AMALU (NPI# 1952746174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952746174
Entity Type Individual
Full Name MRS. PRISCILLA NGOZI AMALU
Credential NP
Practice Address 12319 Glen Creek Rd
Cerritos
CA 90703-1925
Practice Telephone 5629659897
Mailing Telephone 5629659897
Enumeration Date 2013-05-01
Last Update Date 2013-05-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
NP 21636 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12319 GLEN CREEK RD
City CERRITOS
State CA
Zip Code 90703-1925

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City CERRITOS
Zip Code 90703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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