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Organization
MINDTREE A NURSING CORPORATION
Active
Organization
MINDTREE A NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY SAMUEL PMHNP (OWNER)
(415) 849-2466
Entity
Organization
Contact information
Practice address
888 PROSPECT ST STE 200, LA JOLLA, CA 92037-4261
(415) 849-2466
(415) 376-4529
Mailing address
888 PROSPECT ST STE 200, LA JOLLA, CA 92037-4261
(415) 849-2466
(415) 376-4529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
08/05/2022
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