Organization · Type 2 NPI
Vvid LLC
Psychiatric/Mental Health Nurse Practitioner · Brentwood, CA
NPI number
1598519357
Active
Practice location
191 Sand Creek Rd # CA230
Brentwood, CA 94513-2215
Mailing address
PO Box 786
Bethel Island, CA 94511-0786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1598519357
Vvid LLC's National Provider Identifier is 1598519357, issued on Apr 16, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brentwood, CA. The record was last updated on Oct 10, 2024.