NP Health & Wellness Center A Professional Nursing Corporation
Nurse Practitioner in Thousand Oaks, CA. Organization (NPI-2).
NPI number1366041733
StatusActive
Last updated in NPPESApr 27, 2021
Details
- NPI
- 1366041733
- Entity type
- Organization (NPI-2)
- Legal business name
- NP Health & Wellness Center A Professional Nursing Corporation
- Organization subpart
- No
- Enumeration date
- Oct 18, 2020
- Certification date
- Apr 27, 2021
- Last updated
- Apr 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
1429 E Thousand Oaks Blvd#108
Thousand Oaks, CA 91362
Phone 805-719-1700 · Fax 805-719-1711
Mailing address
1429 E Thousand Oaks Blvd#108
Thousand Oaks, CA 91362-2801
Phone 805-719-1700 · Fax 805-719-1711
Authorized official
Lynn Coates-Leisen
Ce0 / Employee Of Corporation
8057191700
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