Individual provider · Type 1 NPI

Justin Fenton

Psychiatric/Mental Health Registered Nurse · Covina, CA

NPI number 1083252142 Active

Practice location

1161 E Covina Blvd
Covina, CA 91724-1523

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X800227 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1083252142

Justin Fenton's National Provider Identifier is 1083252142, issued on Dec 19, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Covina, CA. The record was last updated on Dec 19, 2019.