Individual
KUMBIRAI MADIYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
MINDWORKS CONNECTION, 1968 S COAST HWY # 4560, LAGUNA BEACH, CA 92651-3681
(425) 615-4312
(442) 253-8085
Mailing address
1968 S COAST HWY # 4560, LAGUNA BEACH, CA 92651-3681
(425) 615-4312
(442) 253-8085
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
228169
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95008989
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61108955
WA
Other
Enumeration date
12/12/2017
Last updated
04/07/2022
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