Individual provider · Type 1 NPI
Bariasa Caroline Kanabolo, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Riverside, CA
NPI number
1578093050
Active
Practice location
9890 County Farm Rd Bldg 2
Riverside, CA 92503-3505
Mailing address
8498 Daisy Ln
Riverside, CA 92508-7103
Other practice locations
- 8498 Daisy Ln, Riverside, CA 92508-7103 · (951) 236-9430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95006727 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
4 other providers at this address
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About NPI 1578093050
Bariasa Caroline Kanabolo, PMHNP's National Provider Identifier is 1578093050, issued on Jun 15, 2017. 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 Mar 17, 2018.