Provider Demographics
NPI:1821243544
Name:NWANGWU, HELEN NNEKA (RN)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:NNEKA
Last Name:NWANGWU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:NNEKA
Other - Last Name:AKAMNONU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP, PMHNP-BC
Mailing Address - Street 1:5901 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90822-5201
Mailing Address - Country:US
Mailing Address - Phone:562-826-8000
Mailing Address - Fax:562-826-5941
Practice Address - Street 1:5901 E 7TH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:562-826-8000
Practice Address - Fax:562-826-5941
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA703973163W00000X
CA19424363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily