Organization
PRUDENT PSYCHIATRY NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELISTA ANUGOM (CEO)
(206) 456-6933
Entity
Organization
Contact information
Practice address
2947 S VINEYARD AVE, ONTARIO, CA 91761-6475
(206) 456-6933
Mailing address
2947 S VINEYARD AVE, ONTARIO, CA 91761-6475
(206) 456-6933
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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