Individual provider · Type 1 NPI
Mindy Leake, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Healdsburg, CA
NPI number
1972387041
Active
Practice location
302 Grant St Apt B
Healdsburg, CA 95448-3922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95038925 (CA) |
| Registered Nurse | 163W00000X | 800715 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1972387041
Mindy Leake, PMHNP-BC's National Provider Identifier is 1972387041, issued on Aug 21, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Healdsburg, CA. The record was last updated on Jun 16, 2026.