Healthcare Provider Details

I. General information

NPI: 1851949895
Provider Name (Legal Business Name): JOY FEHR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 CITY DRIVE SOUTH
ORANGE CA
92868
US

IV. Provider business mailing address

663 DONATELLO DR
CORONA CA
92882-6391
US

V. Phone/Fax

Practice location:
  • Phone: 714-935-6940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number561207
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: