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Mr. Brian James Nakkerud-whiteside, RN,PMHFNPC
Psychiatric/Mental Health Nurse Practitioner in Santa Cruz, California
NPI 1417205527

Brian James Nakkerud-whiteside is a Psychiatric/Mental Health Nurse Practitioner based in Santa Cruz, CA and is specialized in Psychiatric/Mental Health. Brian James Nakkerud-whiteside practices in Santa Cruz, CA and has the professional credentials of RN,PMHFNPC. The NPI Number for Brian James Nakkerud-whiteside is 1417205527 and holds a License No. 802020 (California).

The current practice location address for Brian James Nakkerud-whiteside is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4170 and via fax at 831-454-4663.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417205527
Provider Name
Brian James Nakkerud-whiteside
Credential
RN,PMHFNPC
Provider Entity Type
Individual
Gender
Male
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
Provider Enumeration Date
08/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91891Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
FHC70042F 01 CA MEDI-CAL PTAN GROUP#
ZZZ92069Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
FHC70044F 01 CA MEDI-CAL PTAN GROUP#
ZZZ91892Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
87055 (California)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
802020 (California)
Definition
Definition to come...
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