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General NPI Number Information
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NPI Number | 1518872076
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Entity Type | Organization
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Legal Business Name | MAYRA BRETADO PSYCHIATRIC NURSING
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 5976 GREYVILLE PL # 113
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-2422
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Country | US
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Telephone | 909-730-0224
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Fax |
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Provider Business Mailing Address
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Address Line | 310 N INDIAN HILL BLVD # 113
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City | CLAREMONT
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State | CA
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Zip | 91711-4611
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Country | US
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Telephone | 909-730-0224
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | MAYRA BRETADO
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Credential | NP
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Telephone | 909-730-0224
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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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