Osasere Triumphant Aimiuwu
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Redlands, CA
NPI 1114859006 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1114859006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 95039855 (CA)
- Practice address
- 27000 W Lugonia Ave Apt 16103
Redlands, CA 92374-1402 - Phone
- (951) 479-6420
- NPI assigned
- Jun 2, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95039855 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95039855 | CA | Yes |
Addresses
Primary practice location
27000 W Lugonia Ave Apt 16103
Redlands, CA 92374-1402
Mailing address
27000 W Lugonia Ave Apt 16103
Redlands, CA 92374-1402
Phone (951) 479-6420
Other providers in Redlands, CA
- Nathalie Edith Aguilar
- Amanda Louise Aguilera
- Hillary Aguirre
- Sergio Aguirre
- Onyinye Nwankwo Ahamba
- Chukwuka Akamnonu
- Felicia Yemisi Akanji
- Godfrey Akpan
- Rawann Al-Hadidi
- Ranea Al-Tikriti
All providers in Redlands, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.