Individual provider · Type 1 NPI
Mitchell Don Brimage Sr., PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Avila Beach, CA
NPI number
1073671996
Active
Practice location
661 Bay Laurel Place, Suite 3B
Avila Beach, CA 93424
Mailing address
1260 Ella St Unit 8
San Luis Obispo, CA 93401-4147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95019766 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1073671996
Mitchell Don Brimage Sr., PMHNP-BC's National Provider Identifier is 1073671996, issued on Dec 4, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Avila Beach, CA. The record was last updated on Jun 6, 2022.