Tichacek, Mary J

Tichacek, Mary J is an individual health care provider with primary practice located at 2417 Marshall Ave Ste 1 , Imperial CA 92251-9401. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Tichacek, Mary J can be contacted via phone (858) 245-1195.

Contact Information

Primary practice address
2417 Marshall Ave Ste 1 Imperial CA 92251-9401
Phone: (858) 245-1195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95024198 California
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 207 California
Nursing Service Providers / Registered Nurse 163W00000X 202048 California

Profile Details

NPI number 1841836244
LBN Legal business name Tichacek, Mary J
Credentials RN, PMHNP, PMHCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2019
Last updated Sep 29th, 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.

Request for update

Popular Providers