Healthcare Provider Details

I. General information

NPI: 1609720655
Provider Name (Legal Business Name): NMV ADVANCED PRACTICE A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1259 BROADWAY AVE
ATWATER CA
95301-4328
US

IV. Provider business mailing address

20 W OLIVE AVE # 1067
MERCED CA
95348-3134
US

V. Phone/Fax

Practice location:
  • Phone: 209-213-3352
  • Fax: 209-676-4619
Mailing address:
  • Phone: 209-213-3352
  • Fax: 209-676-4619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NORA MARY VUE
Title or Position: PRESIDENT
Credential: FNP-C, PMHNP-BC
Phone: 209-504-7151