Provider Demographics
NPI:1891478954
Name:NURSING INFUSION CENTERS OF AMERICA A PROFESSIONAL NURSING CORPORATION
Entity Type:Organization
Organization Name:NURSING INFUSION CENTERS OF AMERICA A PROFESSIONAL NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:DION
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:866-936-0550
Mailing Address - Street 1:4254 GREEN RIVER RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92878-3869
Mailing Address - Country:US
Mailing Address - Phone:866-936-0550
Mailing Address - Fax:866-936-5079
Practice Address - Street 1:4254 GREEN RIVER RD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92878-3869
Practice Address - Country:US
Practice Address - Phone:866-936-0550
Practice Address - Fax:866-936-5079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty