MRS. SHETERAH BURNETT-WRENN LVN NPI 1891182002

NPI Information

NPI: 1891182002
Provider Name: MRS. SHETERAH BURNETT-WRENN, LVN
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Individual
Address:
3686 PACIFIC AVE
RIVERSIDE, CA
ZIP 92509
Phone: (951) 801-2913
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MRS. Sheterah Burnett-wrenn, LVN is a community based residential treatment facility mental illness in Riverside, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MRS. Sheterah Burnett-wrenn, LVN NPI is 1891182002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3686 PACIFIC AVE
RIVERSIDE, CA
ZIP 92509-948
Phone: (951) 801-2913

The enumeration date for this NPI number is 4/25/2015 and was last updated on 4/25/2015.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness		279099	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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