Organization · Type 2 NPI
New Creation Health
Primary Care Nurse Practitioner · Winchester, CA
NPI number
1104790484
Active
Practice location
31649 Leather Wood Dr
Winchester, CA 92596-9656
Mailing address
30724 Benton Rd Ste C302
Winchester, CA 92596-8470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1104790484
New Creation Health's National Provider Identifier is 1104790484, issued on Oct 1, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Winchester, CA. The record was last updated on Oct 1, 2025.