Organization · Type 2 NPI
Act Healthcare Services
Psychiatric/Mental Health Nurse Practitioner · Bloomington, CA
NPI number
1255191763
Active
Practice location
17409 Valley Blvd Ste 80
Bloomington, CA 92316-3910
Mailing address
10976 Bamboo Ct
Fontana, CA 92337-6844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1255191763
Act Healthcare Services's National Provider Identifier is 1255191763, issued on Mar 21, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bloomington, CA. The record was last updated on Mar 21, 2024.