Healthcare Provider Details

I. General information

NPI: 1942706460
Provider Name (Legal Business Name): BRITTANY WHEELER-NASH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 REYNOLDS RD
RIVERSIDE CA
92503-3517
US

IV. Provider business mailing address

7434 ELM ST APT 10
SAN BERNARDINO CA
92410-4201
US

V. Phone/Fax

Practice location:
  • Phone: 951-358-4466
  • Fax:
Mailing address:
  • Phone: 909-265-5911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code167G00000X
TaxonomyLicensed Psychiatric Technician
License Number38335
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: