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Individual
MR. BRIAN JAMES NAKKERUD-WHITESIDE
Active
Individual
MR. BRIAN JAMES NAKKERUD-WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PMHFNPC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
802020
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23511
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
87055
CA
Other
Enumeration date
08/21/2012
Last updated
05/11/2017
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