MICHAEL JOSEPH NICANDRO NEVAREZ DNP RN PMHNP-BC NPI 1184965709

NPI Information

NPI: 1184965709
Provider Name: MICHAEL JOSEPH NICANDRO NEVAREZ, DNP, RN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
340 S LEMON AVE # 9892
WALNUT, CA
ZIP 91789
Phone: (415) 403-2156
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Michael Joseph Nicandro Nevarez, DNP, RN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Walnut, CA with 4 years of experience. Michael Joseph Nicandro Nevarez, DNP, RN, PMHNP-BC NPI is 1184965709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

340 S LEMON AVE # 9892
WALNUT, CA
ZIP 91789-706
Phone: (415) 403-2156

The NPI 1184965709 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2013 and was last updated on 6/25/2021.

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		807833	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95015602	CALIFORNIA	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program				No

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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