Individual
GANTUYA NADMIDTSEREN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2020 S ST, EUREKA, CA 95501-3139
(707) 497-9909
Mailing address
2020 S ST, EUREKA, CA 95501-3139
(707) 497-9909
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
806821
CA
363L00000X
Nurse Practitioner
Primary
95040610
CA
Other
Enumeration date
11/07/2012
Last updated
07/16/2026
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