MARY KAREN WERDER - NPI 1083762595 - Nurse Practitioner in Santa Rosa, CA

Q: What is Mary Werder's NPI number?

The NPI number for Mary Werder is 1083762595. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Mary Werder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mary Werder was last updated on September 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mary Karen Werder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KAREN WERDER (NPI 1083762595) is an individual psychiatric/mental health provider in Santa Rosa, California, licensed in California (22191) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1083762595

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARY KAREN WERDER

Location Address3333 CHANATE RDSanta Rosa, CA 95404-1707

Mailing Address3333 Chanate RdSanta Rosa, CA 95404-1707

Phone(707) 565-4929

Sole ProprietorNo

Enumeration DateJanuary 8, 2007

Last NPPES UpdateSeptember 11, 2014

✔ NPI 1083762595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 22191

Also ListedRegistered NurseTaxonomy 163W00000X · License 296429 (CA)

3333 CHANATE RD, Santa Rosa, CA 95404

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY MADDOX

Marriage & Family Therapist