Individual provider · Type 1 NPI
Bright Sam
Psychiatric/Mental Health Nurse Practitioner · Sacramento, CA
NPI number
1376268037
Active
Practice location
7225 E Southgate Dr Ste D
Sacramento, CA 95823-2651
Mailing address
422 Lipizzan Ln
Celina, TX 75009-4657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 833764 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95025460 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1376268037
Bright Sam's National Provider Identifier is 1376268037, issued on Oct 5, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sacramento, CA. The record was last updated on Oct 14, 2023.