Denise B. Seastrunk, CNS
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Nipomo, CA
NPI 1275798175 · NPPES record last updated Jul 21, 2008
Key facts
- NPI
- 1275798175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 422475 (CA)
- Practice address
- 135 Mesa Rd
Nipomo, CA 93444-9346 - Phone
- (805) 462-1069
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 422475 | CA | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 422475 | CA | Yes |
Addresses
Primary practice location
135 Mesa Rd
Nipomo, CA 93444-9346
Mailing address
135 Mesa Rd
Nipomo, CA 93444-9346
Phone (805) 462-1069
Other providers in Nipomo, CA
- Jennifer Mary Sale
- Sayyed Khalis Salim
- Kerri Marie Schofield
- Natalia V Schwartz
- Frank Eugene Scott Jr.
- Laurice A. Seely
- Denise A. Seidman
- Edward Shapiro
- Summer Rose Sheffield
- Sailesh Singh Maharjan
All providers in Nipomo, CA · Psychiatric/Mental Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.