Provider Demographics
NPI:1851153407
Name:UNIVERSAL MENTAL HEALTH SERVICES NURSING, PC
Entity Type:Organization
Organization Name:UNIVERSAL MENTAL HEALTH SERVICES NURSING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER- OWN
Authorized Official - Prefix:
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORIKANG
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:408-607-9335
Mailing Address - Street 1:2311 N TRACY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-2426
Mailing Address - Country:US
Mailing Address - Phone:209-802-2929
Mailing Address - Fax:
Practice Address - Street 1:2311 N TRACY BLVD STE A
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-2426
Practice Address - Country:US
Practice Address - Phone:209-802-2929
Practice Address - Fax:209-714-2398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty