Individual
ADRIAN CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, NP, PHMNP
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(833) 574-2273
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-3713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95190153
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032472
CA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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