Roseangel C Anyanwu
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Norwalk, CA
NPI 1801612809 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1801612809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 95033104 (CA)
- Practice address
- 11401 Bloomfield Ave
Norwalk, CA 90650 - Phone
- (562) 651-4470
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
535 Mack Ave
Kingsley, MI 49649-9220
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95033104 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95033104 | CA | Yes |
Addresses
Primary practice location
11401 Bloomfield Ave
Norwalk, CA 90650
Mailing address
11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 651-4470
Other providers in Norwalk, CA
- Natalie Ang
- Ankit Vasa DDS Corporation
- Anl Facility Home Inc
- Violeta M Anorico
- Sheryl Ronabio Antido
- Litzy Anzaldo Parra
- Mary Aseru Aongo
- Aragon & Hernandez Social Services Inc
- Fernanda Aranda
- Janna Arandia
All providers in Norwalk, 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 Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.