Individual
BETAYA SIMONE BOORDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
124 WASHINGTON AVE STE A5, RICHMOND, CA 94801-3979
(845) 594-5289
Mailing address
921 MARINA WAY S UNIT G, RICHMOND, CA 94804-3756
(845) 594-5289
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019227
CA
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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