Individual provider · Type 1 NPI

Edna Lee King, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Upland, CA

NPI number 1962844555 Active

Practice location

400 N Mountain Ave, Suite 241
Upland, CA 91786-5176

Fax (909) 946-1946

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X21541 (CA)

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

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About NPI 1962844555

Edna Lee King, NURSE PRACTITIONER's National Provider Identifier is 1962844555, issued on Jul 23, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Upland, CA. The record was last updated on Jul 25, 2013.