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Organization
VISTA PSYCHIATRIC AND PRIMARY CARE SERVICES
Active
Organization
VISTA PSYCHIATRIC AND PRIMARY CARE SERVICES
Active
Other names
Vista Psychiatric and Primary Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
YONIS A MUDEY DNP (CEO)
(510) 517-3156
Entity
Organization
Contact information
Practice address
2288 FULTON ST, SUITE 309, BERKELEY, CA 94704-1493
(510) 517-3156
Mailing address
448 IGNACIO BLVD, NOVATO, CA 94949-6085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/26/2016
Last updated
09/16/2024
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