ELIZABETH MOLE DNP APRN PMHNP-BC NPI 1376979237

NPI Information

NPI: 1376979237
Provider Name: ELIZABETH MOLE, DNP, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: HIAWATHA HARRIS MD INC.

PECOS Registration: Yes

Address:
5674 STONERIDGE DR
SUITE 205
PLEASANTON, CA
ZIP 94588
Phone: (925) 520-0066
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Elizabeth Mole, DNP, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Pleasanton, CA with 10 years of experience. Elizabeth Mole, DNP, APRN, PMHNP-BC NPI is 1376979237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

5674 STONERIDGE DR
SUITE 205
PLEASANTON, CA
ZIP 94588-500
Phone: (925) 520-0066

The NPI 1376979237 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 9/23/2013 and was last updated on 12/8/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95000987	CALIFORNIA	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: 11/14/2023

NPI Synchronization or Removal

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