Organization
JOHN FUJIWARA NP-C PMHNP-BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FUJIWARA NP-C PMHNP-BC (PRESIDENT/PROVIDER)
(702) 758-4708
Entity
Organization
Contact information
Practice address
8275 S EASTERN AVE STE 200-175, LAS VEGAS, NV 89123-2591
(702) 758-4708
Mailing address
877 ROANOKE RD, SAN MARINO, CA 91108-2437
(626) 348-4458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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