# BLUE LOTUS EMPOWERMENT NURSING CORPORATION

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

## Provider details

- **NPI number:** 1265210058
- **Authorized official:** MS. GRETCHEN HEMBERGER PMHNP-BC (DIRECT OWNER)
- **Authorized official phone:** (802) 233-7830

## Contact information

- **Practice address:** 11209 BROCKWAY RD STE 303, TRUCKEE, CA 96161-2220
- **Practice address phone:** (530) 802-0622
- **Mailing address:** PO BOX 4127, TRUCKEE, CA 96160-4127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2023
- **Last updated:** 09/21/2023