Individual
NATHANIEL KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP - BC
Contact information
Practice address
3081 TEAGARDEN ST, SAN LEANDRO, CA 94577-5720
(510) 347-9457
(510) 686-8806
Mailing address
3081 TEAGARDEN ST, SAN LEANDRO, CA 94577-5720
(510) 347-4620
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030772
CA
Other
Enumeration date
06/26/2024
Last updated
04/24/2025
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