Individual provider · Type 1 NPI
Anna Jadwiga Hadilaksono, NP
Psychiatric/Mental Health Nurse Practitioner · Pismo Beach, CA
NPI number
1922582832
Active
Practice location
128 La Colima
Pismo Beach, CA 93449-2841
Fax (805) 254-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95010045 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1922582832
Anna Jadwiga Hadilaksono, NP's National Provider Identifier is 1922582832, issued on Sep 18, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pismo Beach, CA. The record was last updated on Sep 8, 2026.