Individual provider · Type 1 NPI

Maira Reynosa

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Oakland, CA

NPI number 1407583453 Active

Practice location

8945 Golf Links Rd
Oakland, CA 94605-4124

Mailing address

1404 Lauren Dr
Petaluma, CA 94954-3642

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X95175973 (CA)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1407583453

Maira Reynosa's National Provider Identifier is 1407583453, issued on Aug 1, 2022. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Oakland, CA. The record was last updated on Aug 1, 2022.