AGEWELL ADVANCED NURSING PRACTICE

IRVINE, CA
NPI1518739457
Entity TypeOrganization
Authorized ContactSIMONE KAUFMAN
Principal
562-357-2063
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-10-24
Last Update Date2023-10-24
Business Address
AGEWELL ADVANCED NURSING PRACTICE
12 BAYBERRY WAY
IRVINE, CA 92612-2727
Phone number: 562-357-2063
Mailing Address
AGEWELL ADVANCED NURSING PRACTICE
12 BAYBERRY WAY
IRVINE, CA 92612-2727
Phone number: 562-357-2063