Individual provider · Type 1 NPI
Cenean Walls Raphemot, FPMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Travis Afb, CA
NPI number
1104190271
Active
Practice location
101 Bodin Cir
Travis Afb, CA 94535-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 184446 (TN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 17296 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104190271
Cenean Walls Raphemot, FPMHNP-BC's National Provider Identifier is 1104190271, issued on Mar 6, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Travis Afb, CA. The record was last updated on Mar 28, 2023.