Individual provider · Type 1 NPI

Lee Bella Abuan Mandap, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Cathedral City, CA

NPI number 1629477344 Active

Practice location

69175 Ramon Rd Bldg A
Cathedral City, CA 92234-3344

Mailing address

7601 Masters St
Elk Grove, CALIFORNIA 95758

Other practice locations

  • 7601 Masters St, Elk Grove, CA 95758 · (916) 897-7321

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95000984 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95000984 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1629477344

Lee Bella Abuan Mandap, NURSE PRACTITIONER's National Provider Identifier is 1629477344, issued on Aug 19, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cathedral City, CA. The record was last updated on Apr 21, 2021.