MS. Edna Lee King, NURSE PRACTITIONER
NPI #1962844555 in Upland, California
Provider Information
- NPI Number
- 1962844555
- Entity Type
- Individual
- Name
- MS. Edna Lee King, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jul 23, 2013
- Last Updated
- Jul 25, 2013
Practice Location
- Address
- 400 N MOUNTAIN AVE
- Address 2
- SUITE 241
- City
- Upland
- State
- California
- ZIP Code
- 91786-5176
- Phone
- (909) 946-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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