Individual provider · Type 1 NPI

Sophea Pann, RN

Psychiatric/Mental Health Registered Nurse · Modesto, CA

NPI number 1629350236 Active

Practice location

800 Scenic Dr
Modesto, CA 95350-6131

Mailing address

1904 Richland Ave Bldg C-2
Ceres, CA 95307-4562

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X792247 (CA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X22774 (CA)
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X792247 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1629350236

Sophea Pann, RN's National Provider Identifier is 1629350236, issued on Sep 9, 2011. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Modesto, CA. The record was last updated on Jun 14, 2023.