Provider Demographics
NPI:1679288674
Name:UMENYILORAH, NANCY OGECHI
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:OGECHI
Last Name:UMENYILORAH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22019 PROPELLO DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-8548
Mailing Address - Country:US
Mailing Address - Phone:310-384-7487
Mailing Address - Fax:
Practice Address - Street 1:22019 PROPELLO DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-8548
Practice Address - Country:US
Practice Address - Phone:562-884-5019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034734163WP0808X
CA95023721363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health