Organization · Type 2 NPI

Stanislaus County

Psychiatric/Mental Health Registered Nurse · Modesto, CA

NPI number 1881895597 Active

Practice location

800 Scenic Dr
Modesto, CA 95350-6131

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	None listed

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

125 other providers at this address

NPI record

NPI: 1881895597
Entity type: Organization (Type 2)
Issued: May 30, 2007
Last updated: Oct 11, 2019
Status: Active
Subpart: Yes of County of Stanislaus

Other names

<unavail>
Fee for Service - RN · other name
Fee for Service - RN · other name

Authorized official

Ruben Imperial, MBA
Behavioral Health Interim Director
(209) 525-6225

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1881895597

Stanislaus County's National Provider Identifier is 1881895597, issued on May 30, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Modesto, CA. The record was last updated on Oct 11, 2019.