Individual provider · Type 1 NPI
Wala Izzat Alkhataybeh
Psychiatric/Mental Health Nurse Practitioner · Rancho Cucamonga, CA
NPI number
1821945114
Active
Practice location
7832 Danner Ct
Rancho Cucamonga, CA 91730-6866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95038934 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1821945114
Wala Izzat Alkhataybeh's National Provider Identifier is 1821945114, issued on Mar 14, 2026. 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 Mar 14, 2026.