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General NPI Number Information
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NPI Number | 1427873157
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Entity Type | Organization
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Legal Business Name | SERENITY PSYCHIATRY ADVANCED NURSING INC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1255 W COLTON AVE # 610
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City | REDLANDS
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State | CA
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Zip | 92374-2861
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Country | US
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Telephone | 909-901-3006
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 W COLTON AVE # 610
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City | REDLANDS
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State | CA
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Zip | 92374-2861
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Country | US
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Telephone | 909-901-3006
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KHANH VU
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Credential | NP
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Telephone | 909-901-3006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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