Organization · Type 2 NPI

Pioneer Home LLC

Psychiatric/Mental Health Nurse Practitioner · Gardena, CA

NPI number 1891311833 Active

Practice location

1204 W Gardena Blvd Ste B
Gardena, CA 90247-5923

Mailing address

17817 Hazelwood Ct
Carson, CA 90746-7481

Other practice locations

  • 9112 Yates Bay, Minneapolis, MN 55443-1628 · (424) 567-9808

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

2 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Gardena

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About NPI 1891311833

Pioneer Home LLC's National Provider Identifier is 1891311833, issued on Jun 24, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gardena, CA. The record was last updated on Oct 18, 2021.