Individual
EMILY REBECCA PECAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, PMHNP-BC
Contact information
Practice address
5060 SHOREHAM PL STE 330, SAN DIEGO, CA 92122-5976
(668) 657-6592
(619) 383-6701
Mailing address
5060 SHOREHAM PL STE 330, SAN DIEGO, CA 92122-5976
(668) 657-6592
(619) 383-6701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28401
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95022297
CA
Other
Enumeration date
10/22/2020
Last updated
08/29/2024
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