# PROACTIVE NURSING, INC.

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

## Provider details

- **NPI number:** 1902203441
- **Authorized official:** MRS. GEMMA E. PORSUELO NURSE PRACTITIONER (COO)
- **Authorized official phone:** (619) 887-2838

## Contact information

- **Practice address:** 8692 WAGERS CIR, HUNTINGTON BEACH, CA 92647-5027
- **Practice address phone:** (619) 887-2838
- **Mailing address:** 2345 E 8TH ST STE 102, NATIONAL CITY, CA 91950-2868
- **Mailing address phone:** (619) 887-2838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | CA | Yes |

## Other

- **Enumeration date:** 11/27/2014
- **Last updated:** 11/27/2014