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Dr. Kirsten Gayle Manalo Ebuenga, PMHNP-BC,DNP
Psychiatric/Mental Health Nurse Practitioner in San Clemente, California
NPI 1497381651

Kirsten Gayle Manalo Ebuenga is a Psychiatric/Mental Health Nurse Practitioner based in Loma Linda, CA and is specialized in Psychiatric/Mental Health. Kirsten Gayle Manalo Ebuenga practices in San Clemente, CA and has the professional credentials of PMHNP-BC,DNP. The NPI Number for Kirsten Gayle Manalo Ebuenga is 1497381651 and holds a License No. (California).

The current practice location address for Kirsten Gayle Manalo Ebuenga is 1401 N El Camino Real Ste 100, San Clemente, CA and can be reached out via phone at 858-522-0145.

Location: 1401 N El Camino Real Ste 100, San Clemente, CA, 92354-3446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497381651
Provider Name
Kirsten Gayle Manalo Ebuenga
Credential
PMHNP-BC,DNP
Provider Entity Type
Individual
Gender
Female
Address
1401 N El Camino Real Ste 100, San Clemente, CA, 92354-3446
Phone Number
858-522-0145
Fax Number
Provider Enumeration Date
03/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 N El Camino Real Ste 100
City
San Clemente
State
California
Zip
92672-4983
Phone Number
858-522-0145
Fax Number
person
Provider Business Mailing Address Details
Address
1401 N El Camino Real Ste 100
City
San Clemente
State
California
Zip
92672-4983
Phone Number
858-522-0145
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95019321 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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