ETERNITY MENTAL HEALTH NURSING CORP. NPI 1659152049

NPI Information

NPI: 1659152049
Provider Name: ETERNITY MENTAL HEALTH NURSING CORP.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3150 G ST STE E
MERCED, CA
ZIP 95340
Phone: (209) 875-2831
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ETERNITY MENTAL HEALTH NURSING CORP. is a psychiatric/mental health nurse practitioner in Merced, CA. ETERNITY MENTAL HEALTH NURSING CORP. NPI is 1659152049. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3150 G ST STE E
MERCED, CA
ZIP 95340-346
Phone: (209) 875-2831

The provider's authorized official is Jaswinder Barn .
The authorized official title is Pmhnp, Fnp and has the following contact phone number (209) 819-4878.

The enumeration date for this NPI number is 10/11/2023 and was last updated on 10/23/2023.

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	363LF0000X	Nurse Practitioner	Family			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental 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	1306331699	MEDICAID	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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