Organization · Type 2 NPI
Evergreen Psychiatry Inc.
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1033994512
Active
Practice location
4440 Twain Ave Apt 180
San Diego, CA 92120-3471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033994512
Evergreen Psychiatry Inc.'s National Provider Identifier is 1033994512, issued on Aug 31, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Aug 31, 2023.