Provider Demographics
NPI:1114819406
Name:KANU, UCHECHI BLESSING (NP)
Entity type:Individual
Prefix:MS
First Name:UCHECHI
Middle Name:BLESSING
Last Name:KANU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:UCHECHI
Other - Middle Name:BLESSING
Other - Last Name:KANUOWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4560 W 120TH ST APT 14
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2963
Mailing Address - Country:US
Mailing Address - Phone:310-994-8628
Mailing Address - Fax:
Practice Address - Street 1:705 WALNUT ST APT 6
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-0335
Practice Address - Country:US
Practice Address - Phone:310-994-8628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036190363LP0808X
CA95284016163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health