Provider Demographics
NPI:1609519768
Name:MUSINA, RICHARD NZIOKA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:NZIOKA
Last Name:MUSINA
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 W LINCOLN AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-8200
Mailing Address - Country:US
Mailing Address - Phone:714-932-0576
Mailing Address - Fax:
Practice Address - Street 1:2855 W LINCOLN AVE APT 106
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-8200
Practice Address - Country:US
Practice Address - Phone:714-932-0576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-17
Last Update Date:2022-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95257430163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Multi-Specialty