| NPI | 1881391803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA NJANTE Family Nurse Practitioner 510-355-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-03-22 |