Provider Demographics
NPI:1326412768
Name:ONWULI, UCHENNA WINIFRED (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:UCHENNA
Middle Name:WINIFRED
Last Name:ONWULI
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MISS
Other - First Name:UCHENNA
Other - Middle Name:WINIFRED
Other - Last Name:ONYIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:1 FNP AND PMHNP
Mailing Address - Street 1:20014 CAMBA AVE
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-2908
Mailing Address - Country:US
Mailing Address - Phone:323-336-3418
Mailing Address - Fax:
Practice Address - Street 1:20014 CAMBA AVE
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-2908
Practice Address - Country:US
Practice Address - Phone:323-336-3418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-23
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008138363LF0000X
CA2022002466363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health