Organization · Type 2 NPI
Premiere Care Management Specialists LLC
Primary Care Nurse Practitioner · Antioch, CA
NPI number
1508486374
Active
Practice location
5179 Lone Tree Way Ste 505
Antioch, CA 94531-8689
Fax (925) 303-4563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1508486374
Premiere Care Management Specialists LLC's National Provider Identifier is 1508486374, issued on Apr 22, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Antioch, CA. The record was last updated on Nov 7, 2023.