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General NPI Number Information
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NPI Number | 1518766278
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Entity Type | Organization
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Legal Business Name | NUNA MENTAL WELLNESS, PSYCHIATRIC MENTAL HEALTH NURSING, PC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 19387 CASCADE DR
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City | TRABUCO CANYON
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State | CA
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Zip | 92679
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Country | US
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Telephone | 949-994-6468
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Fax |
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Provider Business Mailing Address
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Address Line | 26741 PORTOLA PARKWAY STE. 1E #659
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City | FOOTHILL RANCH
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State | CA
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Zip | 92610-1763
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Country | US
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Telephone | 949-994-6468
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GABRIELA URSULA VILLAFUERTE
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Credential | FNP-BC, PMHNP-BC
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Telephone | 949-994-6468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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