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Mrs. Keren Ann Podboy, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in San Jose, California
NPI 1063073138

Keren Ann Podboy is a Psychiatric/Mental Health Nurse Practitioner based in San Mateo, CA and is specialized in Psychiatric/Mental Health. Keren Ann Podboy practices in San Jose, CA and has the professional credentials of PMHNP-BC. The NPI Number for Keren Ann Podboy is 1063073138 and holds a License No. 95012011 (California).

The current practice location address for Keren Ann Podboy is 2039 Forest Ave Ste 201, San Jose, CA and can be reached out via phone at 408-358-8090.

Location: 2039 Forest Ave Ste 201, San Jose, CA, 94403-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063073138
Provider Name
Keren Ann Podboy
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2039 Forest Ave Ste 201, San Jose, CA, 94403-1718
Phone Number
408-358-8090
Fax Number
Provider Enumeration Date
06/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2039 Forest Ave Ste 201
City
San Jose
State
California
Zip
95128-4815
Phone Number
408-358-8090
Fax Number
person
Provider Business Mailing Address Details
Address
2039 Forest Ave Ste 201
City
San Jose
State
California
Zip
95128-4815
Phone Number
408-358-8090
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95012011 (California)
Definition
Definition to come...
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