person
Ms. Edna Lee King, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Upland, California
NPI 1962844555

Edna Lee King is a Psychiatric/Mental Health Nurse Practitioner based in Upland, CA and is specialized in Psychiatric/Mental Health. Edna Lee King practices in Upland, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Edna Lee King is 1962844555 and holds a License No. 21541 (California).

The current practice location address for Edna Lee King is 400 N Mountain Ave, Upland, CA and can be reached out via phone at 909-946-0707 and via fax at 909-946-1946.

Location: 400 N Mountain Ave, Upland, CA, 91786-5176
person
Provider Profile Details
NPI Number
1962844555
Provider Name
Edna Lee King
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
400 N Mountain Ave, Upland, CA, 91786-5176
Phone Number
909-946-0707
Fax Number
909-946-1946
Provider Enumeration Date
07/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 N Mountain Ave
City
State
Zip
91786-5176
Phone Number
909-946-0707
Fax Number
909-946-1946
person
Provider Business Mailing Address Details
Address
400 N Mountain Ave
City
State
Zip
91786-5176
Phone Number
909-946-0707
Fax Number
909-946-1946
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
21541 (California)
Definition
Definition to come...
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