PROACTIVE CARE NURSING INC NPI 1154713790

NPI Information

NPI: 1154713790
Provider Name: PROACTIVE CARE NURSING, INC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
17822 BEACH BLVD
SUITE 400
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 332-7016
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PROACTIVE CARE NURSING, INC is an adult health nurse practitioner in Huntington Beach, CA. PROACTIVE CARE NURSING, INC NPI is 1154713790. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

17822 BEACH BLVD
SUITE 400
HUNTINGTON BEACH, CA
ZIP 92647-101
Phone: (714) 332-7016

The provider's authorized official is Sherry E Do .
The authorized official title is Coo and has the following contact phone number (714) 332-7016.

The enumeration date for this NPI number is 2/18/2015 and was last updated on 4/4/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CB233434	MEDICARE UPIN	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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