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Organization
VALLEY INTEGRATIVE PSYCHIATRIC HEALTH & WELLNESS, NURSING CORPORATION
Active
Organization
VALLEY INTEGRATIVE PSYCHIATRIC HEALTH & WELLNESS, NURSING CORPORATION
Active
Parent organization
VIP HEALTH & WELLNESS
Other names
VIP Health & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIP HEALTH & WELLNESS
Authorized official
DR. ANISE WHEELER NURSE PRACTITIONER (CEO/ PMHNP)
(209) 662-0754
Entity
Organization
Contact information
Practice address
1822 W KETTLEMAN LN STE 1, LODI, CA 95242-4218
(209) 689-0103
(209) 689-0131
Mailing address
4322 RIVERBANK CT, STOCKTON, CA 95219-2538
(209) 662-0754
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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