# MR. BRIAN JAMES NAKKERUD-WHITESIDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417205527
- **Gender:** Man
- **Credential:** RN, PMHFNPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 802020 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 23511 | CA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 87055 | CA | — |

## Other

- **Enumeration date:** 08/21/2012
- **Last updated:** 05/11/2017