Individual provider · Type 1 NPI
Nicole Rose Stanard, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse · San Diego, CA
NPI number
1174038244
Active
Practice location
4309 3rd Ave
San Diego, CA 92103-1407
Mailing address
12808 Willow Rd
Lakeside, CA 92040-1813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 95128218 (CA) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1174038244
Nicole Rose Stanard, RN's National Provider Identifier is 1174038244, issued on Dec 11, 2017. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in San Diego, CA. The record was last updated on Dec 11, 2017.