# PRUDENT PSYCHIATRY NURSING CORP

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

## Provider details

- **NPI number:** 1538026992
- **Authorized official:** FELISTA ANUGOM (CEO)
- **Authorized official phone:** (206) 456-6933

## Contact information

- **Practice address:** 2947 S VINEYARD AVE, ONTARIO, CA 91761-6475
- **Practice address phone:** (206) 456-6933
- **Mailing address:** 2947 S VINEYARD AVE, ONTARIO, CA 91761-6475
- **Mailing address phone:** (206) 456-6933

## 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:** 01/07/2026
- **Last updated:** 01/07/2026
