Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARIA CHARISMA SIDECO LICERALDE, APRN, PMHNP, BC
Active Sole ProprietorMS. MARIA CHARISMA SIDECO LICERALDE, APRN, PMHNP, BC is a Substance Abuse Psychiatric Nurse healthcare provider located in SAN JOSE, California. NPI 1134307507 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · SAN JOSE, CA
Registration Details
- NPI Number
- 1134307507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2008 (18.50681587907 yrs)
- Last Updated
- Feb 7, 2008
- License
-
715901 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
80 GREAT OAKS BLVDSAN JOSE, CA, 951191310Browse CA providers · Browse ZIP 95119
- Phone
- 4083633000
- Fax
- 4083633046
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
Other Substance Abuse Psychiatric Nurse Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID SISSON | CNS | 1588686364 |
| KEVIN AUSTIN MCKELLAR | R.N. | 1043584816 |
| MR. JESS LARAZA REYES | REGISTERED NURSE | 1962923524 |
| MRS. NGA TUYET DANG | — | 1235648536 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.