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

Signature Mindcare Medical Corporation

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1114849502

Signature Mindcare Medical Corporation is a Psychiatric/Mental Health Nurse Practitioner in Montrose, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2283 Waltonia Dr
Montrose, CA 91020-1261
Phone: (323) 849-3309
Show map & directions

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 number1114849502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official La Crystal Fuller — Owner · (315) 547-0502
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address2283 Waltonia Dr, Montrose, CA 91020-1261

Other providers in Montrose