Individual provider · Type 1 NPI
Eduardo Longsworth
Psychiatric/Mental Health Nurse Practitioner · San Bernardino, CA
NPI number
1871242669
Active
Practice location
1481 Windsor Dr
San Bernardino, CA 92404-5416
Mailing address
14135 Main St Ste 301
Hesperia, CA 92345-8095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95182846 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95025356 (CA) |
| Nurse Practitioner | 363L00000X | 95025356 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1871242669
Eduardo Longsworth's National Provider Identifier is 1871242669, issued on Mar 21, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Bernardino, CA. The record was last updated on Feb 17, 2026.