Individual provider · Type 1 NPI
Osayamen Dereng
Psychiatric/Mental Health Nurse Practitioner · Antioch, CA
NPI number
1326591595
Active
Practice location
5497 Rathdrum Way
Antioch, CA 94531-8681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 634659 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95005210 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1326591595
Osayamen Dereng's National Provider Identifier is 1326591595, issued on Jul 25, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Antioch, CA. The record was last updated on May 17, 2019.