Individual
WELLINGTON BURNHAM GEORGIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1700 PINE FLAT RD, SANTA CRUZ, CA 95060-9610
(305) 934-7605
Mailing address
1700 PINE FLAT RD, SANTA CRUZ, CA 95060-9610
(305) 934-7605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029934
CA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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