Provider Demographics
NPI:1033429204
Name:NIHART, MARY ANN (PMHNP-BC, PMHCNS-BC)
Entity Type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:NIHART
Suffix:
Gender:F
Credentials:PMHNP-BC, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 HILTON LN
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-8039
Mailing Address - Country:US
Mailing Address - Phone:650-359-7624
Mailing Address - Fax:650-359-7624
Practice Address - Street 1:146 HILTON LN
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-8039
Practice Address - Country:US
Practice Address - Phone:650-359-7624
Practice Address - Fax:650-359-7624
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA834364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult