Organization
MINDFULL BALANCE ADVANCED NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HENRY FNP-C (OWNER)
(213) 761-4304
Entity
Organization
Contact information
Practice address
331 ARDEN AVE STE 101, GLENDALE, CA 91203-4023
(213) 761-4304
(888) 527-6818
Mailing address
331 ARDEN AVE STE 101, GLENDALE, CA 91203-4023
(213) 761-4304
(888) 527-6818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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