Healthcare Provider Details

I. General information

NPI: 1659167757
Provider Name (Legal Business Name): PREMIER HEALTH NURSING CORP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MICHIGAN AVE
OCEANSIDE CA
92054-3193
US

IV. Provider business mailing address

515 MICHIGAN AVE
OCEANSIDE CA
92054-3193
US

V. Phone/Fax

Practice location:
  • Phone: 760-688-0644
  • Fax:
Mailing address:
  • Phone: 760-688-0644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TONY TERREL CURTIS
Title or Position: OWNER
Credential:
Phone: 760-688-0644