Organization
ELOM PSYCHIATRIC NURSE PRACTITIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE WINFREY NP (OWNER)
(310) 729-4701
Entity
Organization
Contact information
Practice address
1177 WOODBURY DR, HARBOR CITY, CA 90710-1242
(310) 729-4701
(310) 729-4701
Mailing address
1177 WOODBURY DR, HARBOR CITY, CA 90710-1242
(310) 729-4701
(310) 729-4701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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