ADVANCED PRACTITIONER MEDICAL GROUP - A PROFESSIONAL NURSING CORP NPI 1861069957

NPI Information

ADVANCED PRACTITIONER MEDICAL GROUP - A PROFESSIONAL NURSING CORP is a family nurse practitioner in Rancho Cucamonga, CA. ADVANCED PRACTITIONER MEDICAL GROUP - A PROFESSIONAL NURSING CORP NPI is 1861069957. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Practitioner Medical Group.

The provider's business location address is:

10570 FOOTHILL BLVD STE 210
RANCHO CUCAMONGA, CA
ZIP 91730-876
Phone: (909) 991-7577
Fax: (909) 991-7571

The provider's authorized official is Shylee B Tiamson .
The authorized official title is Nurse Practitioner and has the following contact phone number (310) 292-0117.

The enumeration date for this NPI number is 6/7/2021 and was last updated on 4/22/2022.

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:

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