VALLEY INTEGRATIVE PSYCHIATRIC HEALTH & WELLNESS NURSING CORPORATION NPI 1467114009

NPI Information

NPI: 1467114009
Provider Name: VALLEY INTEGRATIVE PSYCHIATRIC HEALTH & WELLNESS, NURSING CORPORATION
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1822 W KETTLEMAN LN STE 1
LODI, CA
ZIP 95242
Phone: (209) 689-0103
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VALLEY INTEGRATIVE PSYCHIATRIC HEALTH & WELLNESS, NURSING CORPORATION is a psychiatric/mental health nurse practitioner in Lodi, CA. VALLEY INTEGRATIVE PSYCHIATRIC HEALTH & WELLNESS, NURSING CORPORATION NPI is 1467114009. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1822 W KETTLEMAN LN STE 1
LODI, CA
ZIP 95242-218
Phone: (209) 689-0103
Fax: (209) 689-0131

The provider's authorized official is Anise Wheeler .
The authorized official title is Ceo/ Pmhnp and has the following contact phone number (209) 662-0754.

The enumeration date for this NPI number is 10/12/2021 and was last updated on 10/12/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

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

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