Provider Demographics
NPI:1518230507
Name:ANYANWU, ULOMA (LVN)
Entity Type:Individual
Prefix:MS
First Name:ULOMA
Middle Name:
Last Name:ANYANWU
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26568 OAKDALE CANYON LN
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-8125
Mailing Address - Country:US
Mailing Address - Phone:213-840-2743
Mailing Address - Fax:866-593-5699
Practice Address - Street 1:26568 OAKDALE CANYON LN
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91387-8125
Practice Address - Country:US
Practice Address - Phone:213-840-2743
Practice Address - Fax:866-593-5699
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN191377164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse