Individual
GAEA ELENA POPE-DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
508 GIBSON DR STE 150-160, ROSEVILLE, CA 95678-5794
(916) 865-3670
Mailing address
PO BOX 808, COLFAX, CA 95713-0808
(530) 802-4920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
789932
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95024689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95024689
BOARD OF REGISTERED NURSING
CA
Enumeration date
01/13/2011
Last updated
03/12/2025
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