Organization · Type 2 NPI

Optimal Care Wound Management LLC

Nurse Practitioner · Montclair, CA

NPI number 1255129342 Active

Practice location

4959 Palo Verde St Ste 208C-5
Montclair, CA 91763-2360

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255129342

Optimal Care Wound Management LLC's National Provider Identifier is 1255129342, issued on Apr 28, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Montclair, CA. The record was last updated on Apr 28, 2025.