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Individual

YI TING HALGEDAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1000 VALE TERRACE DR, VISTA, CA 92084
(760) 631-5000
Mailing address
2918 E 16TH ST, NATIONAL CITY, CA 91950-5222

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95006826
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95006826
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95006826
PMHNP
CA
Enumeration date
12/15/2011
Last updated
11/22/2022
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