Provider Demographics
NPI:1437549714
Name:PLUDE, NANCY (PRA)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:PLUDE
Suffix:
Gender:F
Credentials:PRA
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:PLUDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PRA
Mailing Address - Street 1:2034 DE LA VINA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3814
Mailing Address - Country:US
Mailing Address - Phone:805-714-1818
Mailing Address - Fax:
Practice Address - Street 1:2034 DE LA VINA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3814
Practice Address - Country:US
Practice Address - Phone:805-714-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health