Signature Mindcare Nursing Corporation
NPI #1073331351 in Montrose, California
Provider Information
- NPI Number
- 1073331351
- Entity Type
- Organization
- Organization Name
- Signature Mindcare Nursing Corporation
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 26, 2024
- Last Updated
- Oct 22, 2024
Practice Location
- Address
- 2283 WALTONIA DR
- City
- Montrose
- State
- California
- ZIP Code
- 91020-1261
- Phone
- (323) 849-3309
Authorized Official
- Name
- LA CRYSTAL FULLER, NP
- Title
- CEO
- Phone
- (562) 522-3457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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