Individual provider · Type 1 NPI
Shaun Marvin Luther, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Stockton, CA
NPI number
1497522072
Active
Practice location
776 W Longview Ave
Stockton, CA 95207-4713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 814023 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95034866 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497522072
Shaun Marvin Luther, PMHNP-BC's National Provider Identifier is 1497522072, issued on Dec 5, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Stockton, CA. The record was last updated on May 7, 2025.