Individual provider · Type 1 NPI
Daisy Prom
Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
NPI number
1295428100
Active
Practice location
1891 Effie St
Los Angeles, CA 90026-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95025343 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295428100
Daisy Prom's National Provider Identifier is 1295428100, issued on May 29, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 13, 2024.