Individual provider · Type 1 NPI
David Fairbanks, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Chino, CA
NPI number
1104752823
Active
Practice location
4390 Heather Cir
Chino, CA 91710-5019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95040098 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104752823
David Fairbanks, PMHNP-BC's National Provider Identifier is 1104752823, issued on Jun 22, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chino, CA. The record was last updated on Jun 22, 2026.