Organization
HAYVEN INTEGRATIVE HEALTH, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Genesis Aesthetics & Wellness, Nursing Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI L. HULL NURSE PRACTITIONER (CEO/NP)
(661) 449-7957
Entity
Organization
Contact information
Practice address
11553 FOOTHILL BLVD STE 22, RANCHO CUCAMONGA, CA 91730-0730
(909) 286-7846
(909) 265-9406
Mailing address
11553 FOOTHILL BLVD STE 22, RANCHO CUCAMONGA, CA 91730-0730
(909) 317-3759
(909) 760-4957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
05/17/2026
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