Individual
BRENDA KANYUA KIMATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC/ RN
Contact information
Practice address
410 N PROSPECTORS RD, DIAMOND BAR, CA 91765-1258
(405) 535-1782
Mailing address
410 N PROSPECTORS RD, DIAMOND BAR, CA 91765-1258
(702) 289-4157
(702) 289-4795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
814690
TX
163W00000X
Registered Nurse
840834
NV
163W00000X
Registered Nurse
Primary
95418013
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1036055
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
840834
NV
Other
Enumeration date
04/21/2021
Last updated
10/24/2025
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