Individual provider · Type 1 NPI
Sandra Maultasch
Psychiatric/Mental Health Nurse Practitioner · Escondido, CA
NPI number
1104615327
Active
Practice location
474 W Vermont Ave Ste 101
Escondido, CA 92025-6584
Mailing address
43218 Matera Ct
Temecula, CA 92592-9138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95033158 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104615327
Sandra Maultasch's National Provider Identifier is 1104615327, issued on May 5, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Escondido, CA. The record was last updated on Oct 22, 2025.