Individual provider · Type 1 NPI
Kumbirai Madiye, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Laguna Beach, CA
NPI number
1427563535
Active
Practice location
Mindworks Connection, 1968 S Coast Hwy # 4560
Laguna Beach, CA 92651-3681
Fax (442) 253-8085
Mailing address
1968 S Coast Hwy # 4560
Laguna Beach, CA 92651-3681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61108955 (WA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 228169 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95008989 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1427563535
Kumbirai Madiye, PMHNP's National Provider Identifier is 1427563535, issued on Dec 12, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Laguna Beach, CA. The record was last updated on Apr 7, 2022.