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Organization
NP HEALTH & WELLNESS CENTER A PROFESSIONAL NURSING CORPORATION
Active
Organization
NP HEALTH & WELLNESS CENTER A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN COATES-LEISEN NP-C (CE0 / EMPLOYEE OF CORPORATION)
(805) 719-1700
Entity
Organization
Contact information
Practice address
1429 E THOUSAND OAKS BLVD, #108, THOUSAND OAKS, CA 91362
(805) 719-1700
(805) 719-1711
Mailing address
1429 E THOUSAND OAKS BLVD, #108, THOUSAND OAKS, CA 91362-2801
(805) 719-1700
(805) 719-1711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134523558
INDIVIDUAL NPI
—
Enumeration date
10/18/2020
Last updated
04/27/2021
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