Most Relevant Information
Provider Data
| NPI Number: | 1003411646 |
| Provider Name: | DESIREE C NWIGWE APRN, PMHNP, PHN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | 800821 |
Most Important Dates
| Enumeration Date: | 12/02/2020 |
| Last Updated: | 04/25/2023 |
Provider Practice Location
9990 COUNTY FARM RD
RIVERSIDE
CA
925033542
Practice Location Phone/Fax
| Phone: | 9513584000 |
| Fax: |
Provider Mailing Location
9990 COUNTY FARM RD
RIVERSIDE
CA
925033542
Provider Mailing Phone/Fax
| Phone: | 9513584000 |
| Fax: |