Individual provider · Type 1 NPI

Alan James Camacho, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Rancho Cucamonga, CA

NPI number 1790408946 Active

Practice location

9479 Haven Ave
Rancho Cucamonga, CA 91730-5844

Fax (909) 658-8977

Mailing address

621 Casa De Leon
Redlands, CA 92373-5787

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X95053159 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95022516 (CA)

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

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About NPI 1790408946

Alan James Camacho, PMHNP's National Provider Identifier is 1790408946, issued on Sep 22, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Sep 22, 2022.