Miyazaki, Caitlin

Miyazaki, Caitlin is an individual health care provider with primary practice located at 2542 S Bascom Ave Ste 100 , Campbell CA 95008-5541. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Miyazaki, Caitlin can be contacted via phone (510) 853-2905.

Contact Information

Primary practice address
2542 S Bascom Ave Ste 100 Campbell CA 95008-5541
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95029995 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95026585 California

Profile Details

NPI number 1851025613
LBN Legal business name Miyazaki, Caitlin
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2022
Last updated Oct 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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