Individual provider · Type 1 NPI
Julia Anne Tidik, PMHNP
Psychiatric/Mental Health Nurse Practitioner · San Luis Obispo, CA
NPI number
1396299525
Active
Practice location
784 High St
San Luis Obispo, CA 93401-5243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN60469015 (WA) |
| Registered Nurse | 163W00000X | 95157097 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60683021 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95009437 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1396299525
Julia Anne Tidik, PMHNP's National Provider Identifier is 1396299525, issued on Aug 4, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 11, 2023.