Individual provider · Type 1 NPI

Yuliawati Enomoto

Psychiatric/Mental Health Nurse Practitioner · Riverside, CA

NPI number 1477412476 Active

Practice location

5900 Brockton Ave
Riverside, CA 92506-1862

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95038271 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1477412476

Yuliawati Enomoto's National Provider Identifier is 1477412476, issued on Jan 16, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Riverside, CA. The record was last updated on Jan 16, 2026.