Advanced Healthcare For Women And Children A Nursing Corporation
Nurse Practitioner, Family in Upland, CA. Organization (NPI-2).
NPI number1821492836
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1821492836
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Healthcare For Women And Children A Nursing Corporation
- Organization subpart
- No
- Enumeration date
- Oct 20, 2014
- Certification date
- Jun 20, 2023
- Last updated
- Jun 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
600 N Mountain Ave Ste A104Upland, CA 91786-4359
Phone 909-518-7966
Mailing address
869 E Foothill Blvd Ste GUpland, CA 91786-4063
Phone 909-518-7966
Authorized official
Monica Palma
President
9095187966
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