Organization · Type 2 NPI
San Bernardino Department of Public Health
Family Nurse Practitioner · San Bernardino, CA
NPI number
1477537140
Active
Practice location
340 N. Mt. View Ave.
San Bernardino, CA 92415-0001
Mailing address
10332 Charwood Ct
Alta Loma, CA 91737-3076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11125 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477537140
San Bernardino Department of Public Health's National Provider Identifier is 1477537140, issued on Dec 5, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 22, 2020.