Organization · Type 2 NPI
Blossom Psychiatry LLC
Psychiatric/Mental Health Nurse Practitioner · Roseville, CA
NPI number
1083576847
Active
Practice location
425 Cirby Way
Roseville, CA 95678-4235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1083576847
Blossom Psychiatry LLC's National Provider Identifier is 1083576847, issued on Dec 1, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Roseville, CA. The record was last updated on Dec 1, 2025.