Individual provider · Type 1 NPI

Holly Vanderhyde, NP

Nurse Practitioner · Moreno Valley, CA

NPI number 1033773379 Active

Practice location

12364 Perris Blvd
Moreno Valley, CA 92557-7423

Call (605) 209-6421 Map

Mailing address

PO Box 1593
Yucca Valley, CA 92286-1593

Other practice locations

58471 Twenty Nine Palms Hwy, Ste 103, Yucca Valley, CA 92284 · (760) 895-1525

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95011532 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1033773379

Holly Vanderhyde, NP's National Provider Identifier is 1033773379, issued on Apr 23, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 25, 2021.