Provider Demographics
NPI:1497042683
Name:AKWAJA, MELVINA CHIDIUTO (PMHNP-BC, MSN, RN)
Entity type:Individual
Prefix:MRS
First Name:MELVINA
Middle Name:CHIDIUTO
Last Name:AKWAJA
Suffix:
Gender:F
Credentials:PMHNP-BC, MSN, RN
Other - Prefix:
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Mailing Address - Street 1:11963 GREVILLEA AVE APT F
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2906
Mailing Address - Country:US
Mailing Address - Phone:661-549-0928
Mailing Address - Fax:
Practice Address - Street 1:8930 PAINTER AVE APT 106
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3544
Practice Address - Country:US
Practice Address - Phone:661-888-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95029911363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health