Organization · Type 2 NPI
Mental Health Practitioners
Psychiatric/Mental Health Nurse Practitioner · Sonoma, CA
NPI number
1609763341
Active
Practice location
651 1st St W Ste G
Sonoma, CA 95476-7046
Mailing address
836 Southampton Rd # B115
Benicia, CA 94510-1961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1609763341
Mental Health Practitioners's National Provider Identifier is 1609763341, issued on Jun 23, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sonoma, CA. The record was last updated on Jun 23, 2025.