Organization
FORTITUDE MENTAL HEALTH PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHITTUM NP (CEO / NURSE PRACTITIONER)
(949) 775-1785
Entity
Organization
Contact information
Practice address
5331 EL DORADO DR, HUNTINGTON BEACH, CA 92649-4567
(949) 775-1785
Mailing address
17011 BEACH BLVD STE 900, PMB 850, HUNTINGTON BEACH, CA 92647-5998
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/06/2026
Last updated
04/15/2026
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