Individual provider · Type 1 NPI
Philip Staley, RN
Adult Psychiatric/Mental Health Registered Nurse · Berkeley, CA
NPI number
1871023630
Active
Practice location
1890 Alcatraz Avenue
Berkeley, CA 94608
Mailing address
1890 Alcatraz Ave
Berkeley, CA 94703-2715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 95048577 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1871023630
Philip Staley, RN's National Provider Identifier is 1871023630, issued on Jun 14, 2017. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Berkeley, CA. The record was last updated on Jun 14, 2017.