# PROACTIVE CARE NURSING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154713790
- **Authorized official:** MISS SHERRY E DO NP (COO)
- **Authorized official phone:** (714) 332-7016

## Contact information

- **Practice address:** 17822 BEACH BLVD, SUITE 400, HUNTINGTON BEACH, CA 92647-7101
- **Practice address phone:** (714) 332-7016
- **Mailing address:** 8692 WAGERS CIR, HUNTINGTON BEACH, CA 92647-5027
- **Mailing address phone:** (714) 332-7016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 04/04/2017
