Godwin Adjekuko
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Eureka, CA
NPI 1326822792 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1326822792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 95154093 (CA)
- Practice address
- 720 Wood St
Eureka, CA 95501-4413 - Phone
- (707) 268-2990
- NPI assigned
- Aug 24, 2023
- Sex
- Male
- 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 |
|---|---|---|---|
| 95154093 | CA | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95154093 | CA | Yes |
Addresses
Primary practice location
720 Wood St
Eureka, CA 95501-4413
Mailing address
2252 Ashley Falls LN
Suwanee, GA 30024-2639
Phone (678) 548-1532
Other providers in Eureka, CA
- Clare Walance Adams
- Kimberlee Adams
- Adaptive Behavioral Services, LLC
- Adcs Women'S Residential
- Tolulope Adesanmi
- Aegis Treatment Centers, LLC
- Natalia Affonso Ferreira
- Alan Michael Aglugub
- Julio Rey Agosto
- Stacey Helen Aguilar
All providers in Eureka, CA · Psychiatric/Mental Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2023. 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.