Healthcare Provider Details

I. General information

NPI: 1861377293
Provider Name (Legal Business Name): THE NURTURED PATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5642 DARIEN CT
RIVERSIDE CA
92505-2315
US

IV. Provider business mailing address

5642 DARIEN CT
RIVERSIDE CA
92505-2315
US

V. Phone/Fax

Practice location:
  • Phone: 909-767-0951
  • Fax:
Mailing address:
  • Phone: 909-767-0951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: KRISTYNNE RODRIGUEZ
Title or Position: CEO
Credential:
Phone: 909-767-0951