Individual
MRS. KRISTEN EILEEN CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
550 N FLOWER ST, SANTA ANA, CA 92703-2361
(714) 641-4665
(714) 647-7496
Mailing address
332 SARAH AVE, PLACENTIA, CA 92870-1938
(949) 275-0944
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
428923
CA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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