Individual provider · Type 1 NPI

Promila M. Mahtab, R.N.

Psychiatric/Mental Health Registered Nurse · Fresno, CA

NPI number 1679703136 Active

Practice location

3141 N. Millbrook Ave.
Fresno, CA 93703

Call (559) 453-1008 Map

Mailing address

2620 Richert Ave
Clovis, CA 93611

Other practice locations

  • 3520 E Shields Ave Ste 102, Fresno, CA 93726-6923 · (559) 538-1230
  • 4411 E. Kings Canyon Rd, Fresno, CA 93702 · (559) 453-1008
  • 3133B N Millbrook Ave, Fresno, CA 93703-1425 · (559) 453-1008
  • 3147 N Millbrook Ave, Fresno, CA 93703-1425 · (559) 453-1008
  • 4411 E Cesar Chavez Blvd, Fresno, CA 93702-3604 · (559) 453-1008
  • 3127 N Millbrook Ave, Fresno, CA 93703-1425 · (559) 453-1008

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X499674 (CA)

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

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About NPI 1679703136

Promila M. Mahtab, R.N.'s National Provider Identifier is 1679703136, issued on Jul 19, 2009. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Fresno, CA. The record was last updated on May 18, 2026.