Organization
MINERVAPSYCH, A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATARINA FAVALLI FLEURY PMHNP-BC (PRESIDENT)
(410) 530-8090
Entity
Organization
Contact information
Practice address
5205 HOLLYWOOD BLVD STE 216, LOS ANGELES, CA 90027-4914
(213) 762-9451
(209) 392-4667
Mailing address
5205 HOLLYWOOD BLVD STE 216, LOS ANGELES, CA 90027-4914
(213) 762-9451
(209) 392-4667
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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