Individual
DR. CHRYSTANYA A ADENIJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
514 N CALIFORNIA AVE STE 18, BEAUMONT, CA 92223-2120
(951) 769-7733
Mailing address
1368 OAK ST, REDLANDS, CA 92373-6868
(916) 844-4214
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95009539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95009539
NURSE PRACTITIONER LICENSE/FURNISHING
CA
Enumeration date
07/24/2018
Last updated
06/09/2019
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