Individual provider · Type 1 NPI
Yonis A. Mudey, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Berkeley, CA
NPI number
1790048767
Active
Practice location
2288 Fulton St Ste 309
Berkeley, CA 94704-1490
Fax (650) 577-2098
Other practice locations
- 1730 S Amphlett Blvd, San Mateo, CA 94402-2707 · (510) 517-3156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 21343 (CA) |
| Family Nurse Practitioner | 363LF0000X | 21343 (CA) |
| Primary Care Nurse Practitioner | 363LP2300X | 21343 (CA) |
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | 3467 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 21343 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790048767
Yonis A. Mudey, NURSE PRACTITIONER's National Provider Identifier is 1790048767, issued on Jun 24, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Berkeley, CA. The record was last updated on Apr 12, 2024.