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Contact Information

ACT HEALTHCARE SERVICES
17409 VALLEY BLVD STE 80
BLOOMINGTON, CA92316-3910
 Phone: 909-201-1735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ACT HEALTHCARE SERVICES · (Female)

NPI Number 1255191763
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2024
Last updated 03/21/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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