Healthcare Provider Details

I. General information

NPI: 1659161404
Provider Name (Legal Business Name): ELITE WELLNESS NURSING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 N ARROWHEAD AVE
SAN BERNARDINO CA
92401-1201
US

IV. Provider business mailing address

599 N ARROWHEAD AVE
SAN BERNARDINO CA
92401-1201
US

V. Phone/Fax

Practice location:
  • Phone: 909-440-6316
  • Fax: 949-864-3173
Mailing address:
  • Phone: 909-440-6313
  • Fax: 949-864-3173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TERE-MONIQUE ORESA CARRINGTON
Title or Position: OWNER
Credential: DNP, APRN, FNP-C
Phone: 909-440-6313