Provider Demographics
NPI:1639825482
Name:DISPATCH NP, A PROFESSIONAL NURSING CORPORATION
Entity Type:Organization
Organization Name:DISPATCH NP, A PROFESSIONAL NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:818-814-9116
Mailing Address - Street 1:17158 PARTHENIA ST
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:91325-3247
Mailing Address - Country:US
Mailing Address - Phone:818-814-9116
Mailing Address - Fax:818-337-1459
Practice Address - Street 1:17158 PARTHENIA ST
Practice Address - Street 2:
Practice Address - City:SHERWOOD FOREST
Practice Address - State:CA
Practice Address - Zip Code:91325-3247
Practice Address - Country:US
Practice Address - Phone:818-814-9116
Practice Address - Fax:818-337-1459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Yes251J00000XAgenciesNursing CareGroup - Single Specialty