Individual provider · Type 1 NPI

Jose Banuelos, PMHNP-BC, FNP-C

Psychiatric/Mental Health Nurse Practitioner · Cathedral City, CA

NPI number 1972165660 Active

Practice location

69175 Ramon Rd Bldg A
Cathedral City, CA 92234-3344

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95013880 (CA)
Family Nurse Practitioner 363LF0000X95013880 (CA)

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

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About NPI 1972165660

Jose Banuelos, PMHNP-BC, FNP-C's National Provider Identifier is 1972165660, issued on Jul 2, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cathedral City, CA. The record was last updated on Nov 3, 2025.