Individual provider · Type 1 NPI
Sean Theus, FNP-BC, PMHNP-BC
Family Nurse Practitioner · Los Angeles, CA
NPI number
1245778620
Active
Practice location
11150 West Olympic Blvd, 760
Los Angeles, CA 90064
Mailing address
20955 Devonshire St Ste B
Chatsworth, CA 91311-2313
Other practice locations
- 10000 S Wilmot Rd, Tucson, AZ 85756-8699 · (520) 574-0024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 95008284 (CA) |
| Family Nurse Practitioner | 363LF0000X | 95008284 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95008284 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | AP9885 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1245778620
Sean Theus, FNP-BC, PMHNP-BC's National Provider Identifier is 1245778620, issued on Feb 6, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 11, 2025.