Individual
NASHWA DARWISH MOUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(760) 995-8300
Mailing address
12630 HIGH DESERT RD, VICTORVILLE, CA 92392-6203
(760) 493-1008
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
848960
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017015
CA
Other
Enumeration date
09/09/2015
Last updated
03/26/2021
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