Individual provider · Type 1 NPI
Regina Bacani Dizon, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Newport Beach, CA
NPI number
1609538040
Active
Practice location
1501 Superior Ave Ste 300
Newport Beach, CA 92663-3641
Fax (949) 806-6901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95018663 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609538040
Regina Bacani Dizon, PMHNP-BC's National Provider Identifier is 1609538040, issued on Oct 13, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newport Beach, CA. The record was last updated on Oct 14, 2024.