Individual provider · Type 1 NPI
Nichole Marie Maldonado, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Yakima, WA
NPI number
1497584502
Active
Practice location
402 S 4th Ave
Yakima, WA 98902-3546
Mailing address
PO Box 959
Yakima, WA 98907-0959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405581 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 61578716 (WA) |
| Registered Nurse | 163W00000X | 770011 (NY) |
| Registered Nurse | 163W00000X | 61578704 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497584502
Nichole Marie Maldonado, PMHNP-BC's National Provider Identifier is 1497584502, issued on Jul 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Yakima, WA. The record was last updated on Aug 15, 2024.