Individual provider · Type 1 NPI
Amanda Mae Vergel de Dios
Psychiatric/Mental Health Nurse Practitioner · Santa Rosa, CA
NPI number
1679069058
Active
Practice location
1300 N Dutton Ave
Santa Rosa, CA 95401-7112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95025863 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679069058
Amanda Mae Vergel de Dios's National Provider Identifier is 1679069058, issued on Jul 9, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 31, 2023.