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BODY AND SOUL HEALTH CENTER A PROFESSIONAL NURSING CORPORATION NPI 1801542618


NPI Information

NPI: 1801542618
Provider Name: BODY AND SOUL HEALTH CENTER A PROFESSIONAL NURSING CORPORATION
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2551 GILBERT AVE
CORONA, CA
ZIP 92881
Phone: (951) 496-5238
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BODY AND SOUL HEALTH CENTER A PROFESSIONAL NURSING CORPORATION is a psychiatric/mental health nurse practitioner in Corona, CA. BODY AND SOUL HEALTH CENTER A PROFESSIONAL NURSING CORPORATION NPI is 1801542618. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2551 GILBERT AVE
CORONA, CA
ZIP 92881-622
Phone: (951) 496-5238

The provider's authorized official is Shabana Haxton .
The authorized official title is Ceo, President and has the following contact phone number (951) 496-5238.

The enumeration date for this NPI number is 3/2/2022 and was last updated on 3/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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