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Organization
BRAINCOM ADVANCED NURSING CORPORATION
Active
Organization
BRAINCOM ADVANCED NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLY DUARTI PMHNP (PMHNP)
(951) 545-1149
Entity
Organization
Contact information
Practice address
1003 E COOLEY DR STE 211, COLTON, CA 92324-3907
(951) 545-1149
Mailing address
765 N MAIN ST # 131-B17, CORONA, CA 92878-1440
(951) 545-1149
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
08/11/2023
Last updated
07/29/2024
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