Individual
CHRISTIE I CHENETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 WEBSTER ST STE 612, OAKLAND, CA 94609-3101
(855) 501-1004
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
10/16/2019
Last updated
04/28/2026
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