# ACTIVE FAMILY HEALTH, PLC

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

## Provider details

- **NPI number:** 1285347922
- **Authorized official:** NANCY MWANIA (NURSE PRACTITIONER)
- **Authorized official phone:** (949) 295-5345

## Contact information

- **Practice address:** 27555 YNEZ RD STE 210, TEMECULA, CA 92591-4678
- **Practice address phone:** (949) 295-5345
- **Practice address fax:** (949) 326-7500
- **Mailing address:** 27555 YNEZ RD STE 210, TEMECULA, CA 92591-4678
- **Mailing address phone:** (949) 295-5345
- **Mailing address fax:** (949) 326-7500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2022
- **Last updated:** 12/27/2022