Nurses For Safe Access
Registered Nurse, Diabetes Educator in Blue Jay, CA. Organization (NPI-2).
NPI number1265989727
StatusActive
Last updated in NPPESSep 1, 2016
Details
- NPI
- 1265989727
- Entity type
- Organization (NPI-2)
- Legal business name
- Nurses For Safe Access
- Organization subpart
- No
- Enumeration date
- Sep 1, 2016
- Last updated
- Sep 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | 389453 | CA | Yes |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 389453 | CA | |
| 208D00000X | General Practice | 389453 | CA | |
| 302R00000X | Health Maintenance Organization | 389453 | CA |
Practice location
27209 Highway 189Blue Jay, CA 92317
Phone 909-336-4032 · Fax 909-337-8465
Mailing address
27209 Hwy 189,Blue Jay, CA 92317-1221
Phone 909-336-4032 · Fax 909-337-8465
Authorized official
Linda West-Conforti
Ceo
9093364032
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