Michris LLC
Nurse Practitioner, Psych/Mental Health in Palmdale, CA. Organization (NPI-2).
NPI number1295594976
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1295594976
- Entity type
- Organization (NPI-2)
- Legal business name
- Michris LLC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2024
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
39618 Yianni CtPalmdale, CA 93551-5691
Phone 661-916-5608
Mailing address
39618 Yianni CtPalmdale, CA 93551-5691
Phone 661-916-5608
Authorized official
Michael Adeduro
Owner
6619165608
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