DESTA BIRATU MSN PMHNP-BC NPI 1902113418

NPI Information

NPI: 1902113418
Provider Name: DESTA BIRATU, MSN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA
ZIP 92161
Phone: (917) 456-6720
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Desta Biratu, MSN, PMHNP-BC is a psychiatric/mental health nurse practitioner in San Diego, CA. Desta Biratu, MSN, PMHNP-BC NPI is 1902113418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA
ZIP 92161-419
Phone: (917) 456-6720

The NPI 1902113418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/3/2010 and was last updated on 5/16/2022.

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	163W00000X	Registered Nurse		633226	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024178271	VIRGINIA	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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