DORIS NWOSU NP
NPI 1023794682
Nurse Practitioner - Family in San Diego, CA

Active since June 27, 2023
10440 BLACK MOUNTAIN RD # K2102, SAN DIEGO, CA 92126(909) 446-5015 Get Directions Write a Review

NPPES record last updated: February 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Doris Nwosu Np NPPES

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

DORIS NWOSU NP (NPI 1023794682) is an individual family provider in San Diego, California, licensed in California (95020627) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1023794682
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDORIS NWOSUCredential: NP
Location Address10440 BLACK MOUNTAIN RD # K2102San Diego, CA 92126-2910
Mailing AddressPo Box 16832San Diego, CA 92176-6832
Sole ProprietorNo
Enumeration DateJune 27, 2023
Last NPPES UpdateFebruary 11, 2024
NPPES CertifiedFebruary 11, 2024
NPI 1023794682 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 · 95020627
10440 BLACK MOUNTAIN RD # K2102, San Diego, CA 92126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023794682, enumerated as an "individual" on June 27, 2023.

The provider is located at 10440 BLACK MOUNTAIN RD # K2102 SAN DIEGO, CA 92126 and the phone number is (909) 446-5015.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.