Individual
DIVYA NALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-C, MSN
Contact information
Practice address
1349 MAIN ST, NEWMAN, CA 95360-1326
(209) 862-3604
Mailing address
1001 BLUE RANGE WAY, ROSEVILLE, CA 95747-4497
(916) 776-3584
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95022030
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022030
CA
Other
Enumeration date
08/04/2022
Last updated
08/27/2025
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