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General NPI Number Information
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NPI Number | 1699582775
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Entity Type | Organization
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Legal Business Name | NURTURING MINDS MENTAL HEALTH NURSING A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 8122 KINGSBRIDGE DR
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City | SACRAMENTO
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State | CA
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Zip | 95829-6008
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Country | US
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Telephone | 469-226-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 9245 LAGUNA SPRINGS DR STE 200
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City | ELK GROVE
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State | CA
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Zip | 95758-7991
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Country | US
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Telephone | 916-229-9927
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Fax | 502-385-6657
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Authorized Official
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Title or Position | SOLE OWNER
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Name | CHINWE ASIDANYA
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Credential | PMHNP
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Telephone | 469-226-3415
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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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