QUEEN A IGBONAGWAM PMHNP
NPI 1306526058
Nurse Practitioner - Psychiatric/Mental Health in Carson, CA

Q: What is Queen Igbonagwam's NPI number?

The NPI number for Queen Igbonagwam is 1306526058. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Q: What is Queen Igbonagwam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Queen Igbonagwam was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 18, 2023

1039 E HELMICK ST, CARSON, CA 90746(310) 293-7764(310) 632-4984 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Queen A Igbonagwam Pmhnp NPPES

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

QUEEN A IGBONAGWAM PMHNP (NPI 1306526058) is an individual psychiatric/mental health provider in Carson, California, licensed in California (95020434) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1306526058

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameQUEEN A IGBONAGWAMCredential: PMHNP

Location Address1039 E HELMICK STCarson, CA 90746-3039

Mailing Address1039 E Helmick StCarson, CA 90746-3039 · (310) 293-7764 · Fax (310) 632-4984

Phone(310) 293-7764

Fax(310) 632-4984

Sole ProprietorNo

Enumeration DateJuly 18, 2023

NPPES CertifiedJuly 18, 2023

✔ NPI 1306526058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95020434

Also ListedRegistered NurseTaxonomy 163W00000X · License 668489 (CA)

1039 E HELMICK ST, Carson, CA 90746

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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 Queen Igbonagwam's NPI number?

The NPI number for Queen Igbonagwam is 1306526058. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Queen Igbonagwam located?

Queen Igbonagwam practices at 1039 E Helmick St, Carson, CA 90746. The listed phone number is (310) 293-7764.

What is Queen Igbonagwam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Queen Igbonagwam was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.