Healthcare Provider Details

I. General information

NPI: 1871415083
Provider Name (Legal Business Name): EVEXIA HEALTH NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9135 ARCHIBALD AVE STE A
RANCHO CUCAMONGA CA
91730-5227
US

IV. Provider business mailing address

7211 HAVEN AVE STE E-379
RANCHO CUCAMONGA CA
91701-6064
US

V. Phone/Fax

Practice location:
  • Phone: 909-552-7916
  • Fax: 909-314-2472
Mailing address:
  • Phone: 909-552-7916
  • Fax: 909-314-2472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERICA LEVY
Title or Position: OWNER/PROVIDER
Credential: FNP
Phone: 909-552-7916