Individual provider · Type 1 NPI
Shadette Oljol Soriano, PMHNP, MSN-BC
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1467712752
Active
Practice location
7850 Vista Hill Ave
San Diego, CA 92123-2717
Mailing address
11526 Via Santa Brisa
San Diego, CA 92131-4259
Other practice locations
- 3539 College Ave, San Diego, CA 92115-7032 · (619) 818-3788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 95022060 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95029783 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1467712752
Shadette Oljol Soriano, PMHNP, MSN-BC's National Provider Identifier is 1467712752, issued on May 21, 2012. 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 May 16, 2024.