Individual provider · Type 1 NPI
Peter Paul Mutya Badua
Family Nurse Practitioner · Rancho Cucamonga, CA
NPI number
1043036429
Active
Practice location
10621 Church St Ste 120
Rancho Cucamonga, CA 91730-6834
Mailing address
316 Via Napoli
Cathedral City, CA 92234-4189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95030226 (CA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1043036429
Peter Paul Mutya Badua's National Provider Identifier is 1043036429, issued on Dec 2, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Dec 2, 2024.