Individual
ANASTACIA MARIE COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(858) 836-8434
Mailing address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95031821
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035280
CA
Other
Enumeration date
02/17/2016
Last updated
02/27/2026
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