Individual
MR. SHINICHI DAIMYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, CRNP
Contact information
Practice address
132 E BROADWAY STE 810, EUGENE, OR 97401-3160
(541) 357-9433
Mailing address
16 ALWARD RD, BOSTON, MA 02132-7703
(617) 237-0455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
084400-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
101.0134731
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202112981NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61136881
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP211039
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F403863-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN1061501
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2323354
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP019201
PA
Other
Enumeration date
01/22/2018
Last updated
12/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us