DR. GARY KEITH HERMANSEN NP NPI 1134277254

NPI Information

NPI: 1134277254
Provider Name: DR. GARY KEITH HERMANSEN, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
308 DONAHUE ST
SAUSALITO, CA
ZIP 94965
Phone: (415) 535-3659
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DR. Gary Keith Hermansen, NP is a psychiatric/mental health nurse practitioner in Sausalito, CA. DR. Gary Keith Hermansen, NP NPI is 1134277254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

308 DONAHUE ST
SAUSALITO, CA
ZIP 94965-032
Phone: (415) 535-3659

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		1008	MISSISSIPPI	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	7066932-8900	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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