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Organization
PROFESSIONAL CONCIERGE NURSING PC
Active
Organization
PROFESSIONAL CONCIERGE NURSING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA WIGGINS SPEIGHTS DNP, NP-C, PMHNP-BC (PRESIDENT)
(310) 844-3440
Entity
Organization
Contact information
Practice address
4601 S BUDLONG AVE, LOS ANGELES, CA 90037-2811
(310) 844-3440
Mailing address
4601 S BUDLONG AVE, LOS ANGELES, CA 90037-2811
(310) 844-3440
(725) 209-1284
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
02/03/2025
Last updated
05/06/2025
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