Individual provider · Type 1 NPI
Tammie Latheres Sims-Russell
Psychiatric/Mental Health Nurse Practitioner · Pinole, CA
NPI number
1184434995
Active
Practice location
1063 San Pablo Ave Ste B Room # 3
Pinole, CA 94564-2473
Mailing address
1063 San Pablo Ave Ste B
Pinole, CA 94564-2473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95039020 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1184434995
Tammie Latheres Sims-Russell's National Provider Identifier is 1184434995, issued on Jan 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pinole, CA. The record was last updated on Apr 30, 2026.