Organization Name: | AH FAMILY NURSING CARE INCORPORATED |
NPI Number: | 1043654148 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNETTE M HOLLENBECK (PRESIDENT/OWNER) |
Mailing Address: | 1601 Monte Vista Ave Suite 260 Claremont |
State: | CA US |
Postal Code: | 917112962 |
Phone Number: | 9094501571 |
Fax Number: | 9095790100 |
NPI Enumeration Date: | 04/19/2013 |
NPI Last Update Date: | 05/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |