Healthcare Provider Details

I. General information

NPI: 1891641320
Provider Name (Legal Business Name): MCENTEE NURSING, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 10TH AVE UNIT 422
SAN DIEGO CA
92101-7456
US

IV. Provider business mailing address

253 10TH AVE UNIT 422
SAN DIEGO CA
92101-7456
US

V. Phone/Fax

Practice location:
  • Phone: 510-329-0998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE BRADLEY MCENTEE
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 510-329-0998