Provider Demographics
NPI:1326556382
Name:LINARES, KAREN YESENIA (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:YESENIA
Last Name:LINARES
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 E PALM CANYON DR STE 110-1056
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-1613
Mailing Address - Country:US
Mailing Address - Phone:760-642-9868
Mailing Address - Fax:
Practice Address - Street 1:2999 KENDALL DR STE 204
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-2436
Practice Address - Country:US
Practice Address - Phone:760-642-9868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA846229163W00000X
OR201811152NP-PP363LF0000X, 363LP0808X
CA95008355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily