Individual provider · Type 1 NPI
Charles E. Gleeson, PMHNP
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1891847976
Active
Practice location
11770 Bernardo Plaza Ct, Suite 370
San Diego, CA 92128-2422
Fax (619) 528-4625
Mailing address
PO Box 609001
San Diego, CA 92160-9001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP16543 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1891847976
Charles E. Gleeson, PMHNP's National Provider Identifier is 1891847976, issued on Jan 17, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Mar 15, 2021.