1. Home
  2. Directory
  3. California
  4. Moreno Valley
  5. Nurse Practitioner
  6. NPI Profile

MFON-OBONG NSEUWA ETUKUDOH
NPI 1023683141
Nurse Practitioner - Family in Moreno Valley, CA

Active since May 21, 2021
12900 FREDERICK ST STE C, MORENO VALLEY, CA 92553(888) 743-7526 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mfon-obong Nseuwa Etukudoh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MFON-OBONG NSEUWA ETUKUDOH (NPI 1023683141) is an individual family provider in Moreno Valley, California, licensed in California (95014933) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1023683141
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMFON-OBONG NSEUWA ETUKUDOH
Location Address12900 FREDERICK ST STE CMoreno Valley, CA 92553-5266
Mailing Address12900 Frederick St Ste CMoreno Valley, CA 92553-5266 · (951) 488-4103
Phone(888) 743-7526
Sole ProprietorNo
Enumeration DateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1023683141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95014933
12900 FREDERICK ST STE C, Moreno Valley, CA 92553
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PLANNED PARENTHOOD PACIFIC SOUTHWEST
Clinic/Center (Community Health)
12900 FREDERICK ST STE C
MORENO VALLEY, CA 92553
Riverside County (951) 222-3101
JULIAN GARCIA NP
Nurse Practitioner (Family)
12900 FREDERICK ST STE C
MORENO VALLEY, CA 92553
Riverside County (888) 743-7526
KENDAL COURTNEY GILL WHNP-BC
Nurse Practitioner (Women's Health)
12900 FREDERICK ST STE C
MORENO VALLEY, CA 92553
Riverside County (619) 881-4500
IRISH DANIELLE PARDUCHO
Physician Assistant
12900 FREDERICK ST STE C
MORENO VALLEY, CA 92553
Riverside County (888) 743-7526
CHRISTY PEREZ NP
Nurse Practitioner
12900 FREDERICK ST STE C
MORENO VALLEY, CA 92553
Riverside County (951) 222-3110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mfon-obong Etukudoh's NPI number?

The NPI number for Mfon-obong Etukudoh is 1023683141. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Mfon-obong Etukudoh located?

Mfon-obong Etukudoh practices at 12900 Frederick St Ste C, Moreno Valley, CA 92553. The listed phone number is (888) 743-7526.

What is Mfon-obong Etukudoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mfon-obong Etukudoh was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.