Individual provider · Type 1 NPI
Elizabeth Anne Dewart, PMHNP
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1407027618
Active
Practice location
770 Washington St Ste 200
San Diego, CA 92103
Fax (858) 278-3637
Mailing address
1428 Highland Ave
National City, CA 91950-4624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 716453 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 22736 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP22736 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1407027618
Elizabeth Anne Dewart, PMHNP's National Provider Identifier is 1407027618, issued on Mar 14, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Jun 15, 2018.