Individual provider · Type 1 NPI
Frizette Dodson Pua
Psychiatric/Mental Health Nurse Practitioner · Encino, CA
NPI number
1659557536
Active
Practice location
16260 Ventura Blvd
Encino, CA 91436-2203
Mailing address
12741 Rosebrook Way
Stanton, CA 90680-4013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95028989 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1659557536
Frizette Dodson Pua's National Provider Identifier is 1659557536, issued on Jan 10, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Encino, CA. The record was last updated on Sep 23, 2024.