Individual
RICHARD PESSAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8767
(760) 837-8806
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8767
(760) 837-8806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR10203700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NC10203700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8730601
—
NJ
Enumeration date
09/28/2006
Last updated
01/15/2021
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