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

Providence Holistic Healing Advanced Nursing PC

Organization Psychiatry Physician · NPI 1598688715

Providence Holistic Healing Advanced Nursing PC is a Psychiatry Physician in Tracy, California. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4600 S Tracy Blvd Ste 107
Tracy, CA 95377-8105
Phone: (952) 261-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6770 Celadon Ln, Tracy, CA 95377-7705 — (209) 561-1144

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1598688715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maurine Forche — Pmhnp-C · (952) 261-3330
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address6770 Celadon Ln, Tracy, CA 95377-7705

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