MR. NATHANAEL DEARDORFF RN PHN NPI 1578804340

NPI Information

NPI: 1578804340
Provider Name: MR. NATHANAEL DEARDORFF, RN, PHN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
931 SPRING ST
PLACERVILLE, CA
ZIP 95667
Phone: (530) 621-6182
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MR. Nathanael Deardorff, RN, PHN is a psychiatric/mental health registered nurse in Placerville, CA. MR. Nathanael Deardorff, RN, PHN NPI is 1578804340. 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:

931 SPRING ST
PLACERVILLE, CA
ZIP 95667-543
Phone: (530) 621-6182

The enumeration date for this NPI number is 3/4/2013 and was last updated on 2/23/2024.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	95206418	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: 4/28/2024

NPI Synchronization or Removal

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