Allan Nathaniel Bane, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · El Dorado Hills, CA
NPI 1649189093 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1649189093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 905104 (NV)
- Practice address
- 2086 Vista Mar Dr
El Dorado Hills, CA 95762-3716 - Phone
- (707) 305-9481
- NPI assigned
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905104 | NV | Yes |
Addresses
Primary practice location
2086 Vista Mar Dr
El Dorado Hills, CA 95762-3716
Mailing address
2086 Vista Mar Dr
El Dorado Hills, CA 95762-3716
Phone (707) 305-9481
Other providers in El Dorado Hills, CA
- Tiana Bailey-Reed
- Mary Baker
- Jasdeep S Bal
- Mikaela Ball
- Yasir Banah
- Jennifer Ann Banh
- Willow Bankston
- Ariadna Barajas
- Ryan Barlow
- Kelly Barmann
All providers in El Dorado Hills, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.