Organization · Type 2 NPI

Coastal Psychiatry Care Professional Nursing Corp

Psychiatric/Mental Health Nurse Practitioner · Pismo Beach, CA

NPI number 1336062777 Active

Practice location

128 La Colima
Pismo Beach, CA 93449

Mailing address

567 Five Cities Dr Ste 418
Pismo Beach, CA 93449-3005

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1336062777

Coastal Psychiatry Care Professional Nursing Corp's National Provider Identifier is 1336062777, issued on Aug 3, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pismo Beach, CA. The record was last updated on Sep 8, 2026.