Provider Demographics
NPI:1376817338
Name:UMEH, PEACE CHINEDU (RN, MSN, NP)
Entity Type:Individual
Prefix:MRS
First Name:PEACE
Middle Name:CHINEDU
Last Name:UMEH
Suffix:
Gender:F
Credentials:RN, MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5736 SNOWDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-1235
Mailing Address - Country:US
Mailing Address - Phone:562-804-9348
Mailing Address - Fax:
Practice Address - Street 1:1680 E HILL ST
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-3612
Practice Address - Country:US
Practice Address - Phone:562-981-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19883363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner