Nancy Alcantar
Peer Specialist in Riverside, CA. Individual provider (NPI-1).
NPI number1164807996
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1164807996
- Entity type
- Individual (NPI-1)
- Name
- Nancy Alcantar
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2015
- Certification date
- Oct 6, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-OYVUJM | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172V00000X | Community Health Worker | – | – |
Practice location
2085 Rustin AveRiverside, CA 92507-2498
Phone 951-715-5040
Mailing address
3125 Myers StRiverside, CA 92503-5527
Phone 951-358-4840 · Fax 951-358-4848
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