Provider Demographics
NPI:1952049124
Name:ACCESS PSYCH MEDS, A PROFESSIONAL NURSING CORPORATION
Entity Type:Organization
Organization Name:ACCESS PSYCH MEDS, A PROFESSIONAL NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:202-286-6579
Mailing Address - Street 1:2437 VIA DEL AQUACATE
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-8274
Mailing Address - Country:US
Mailing Address - Phone:202-286-6579
Mailing Address - Fax:
Practice Address - Street 1:4660 LA JOLLA VILLAGE DRIVE
Practice Address - Street 2:SUITE 100 AND 200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122
Practice Address - Country:US
Practice Address - Phone:202-286-6579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty