Organization · Type 2 NPI
Advanced Practice Wound Care and Psyche Specialist
Wound Care Registered Nurse · Rancho Cucamonga, CA
NPI number
1063260073
Active
Practice location
10970 Arrow Route, #214
Rancho Cucamonga, CA 91730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse Primary | 163WW0000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Wound Care Registered Nurse: Definition to come...
Another provider at this address
About NPI 1063260073
Advanced Practice Wound Care and Psyche Specialist's National Provider Identifier is 1063260073, issued on May 7, 2024. The primary taxonomy on file is Wound Care Registered Nurse (163WW0000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on May 7, 2024.