Individual provider · Type 1 NPI
Lisa Anne Youngblood, RN NP
Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
NPI number
1801843941
Active
Practice location
1055 Wilshire Blvd Ste 1705
Los Angeles, CA 90017-5600
Fax (619) 667-0815
Mailing address
103 Half Moon Cir Apt C2
Hypoluxo, FL 33462-5494
Other practice locations
- 655 Redwood Hwy Frontage Rd, Mill Valley, CA 94941-3034 · (866) 247-4292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN481125 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP11105 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11011940 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1801843941
Lisa Anne Youngblood, RN NP's National Provider Identifier is 1801843941, issued on May 27, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 3, 2023.