Organization · Type 2 NPI
South Coast Psychiatric Advanced Nursing Practice
Psychiatric/Mental Health Registered Nurse · Anaheim, CA
NPI number
1457793671
Active
Practice location
3400 W Ball Rd, Suite 100B
Anaheim, CA 92804-3738
Fax (714) 484-4903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 16553 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1457793671
South Coast Psychiatric Advanced Nursing Practice's National Provider Identifier is 1457793671, issued on Jul 29, 2013. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Anaheim, CA. The record was last updated on Jul 29, 2013.