Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agewell Advanced Nursing Practice

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1518739457

Agewell Advanced Nursing Practice is a Psychiatric/Mental Health Nurse Practitioner in Irvine, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12 Bayberry Way
Irvine, CA 92612-2727
Phone: (562) 357-2063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1518739457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simone Kaufman — Principal · (562) 357-2063
NPI enumeratedOctober 24, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address12 Bayberry Way, Irvine, CA 92612-2727

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