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Organization

CREDOSTAR PSYCHIATRIC NURSING CORPORATION

Active
Other names
CREDOSTAR PSYCHIATRIC NURSING CORPORATION
Organization subpart
No

Provider details

NPI number
Authorized official
OSITA STELLA NLEMCHUKWU PMHNP-BC (CEO)
(832) 904-6531
Entity
Organization

Contact information

Practice address
4719 QUAIL LAKES DR STE G1108, STOCKTON, CA 95207-8140
(832) 904-6531
Mailing address
4719 QUAIL LAKES DR STE G1108, STOCKTON, CA 95207-8140
(832) 904-6531

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/12/2025
Last updated
02/12/2025
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