FENG WIDERGREN RN
NPI 1942179619
Clinical Nurse Specialist - Psychiatric/Mental Health, Community in Santa Cruz, CA
Active since November 01, 2025
About Feng Widergren Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FENG WIDERGREN RN (NPI 1942179619) is an individual psychiatric/mental health, community provider in Santa Cruz, California, licensed in California (95281683) and active in the NPI registry since November 2025.
NPPES Registry Identity
NPI1942179619
Entity TypeIndividualFemale
Primary Taxonomy364SP0812X
Provider Legal NameFENG WIDERGRENCredential: RN
Location Address2250 SOQUEL AVESanta Cruz, CA 95062-1402
Mailing Address45335 Vista PlKing City, CA 93930-9715 · (831) 235-5861
Phone(830) 600-2800
Sole ProprietorYes
Enumeration DateNovember 1, 2025
NPPES CertifiedNovember 1, 2025
✔ NPI 1942179619 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, CommunityPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0812X
License✔ Licensed in CA · 95281683
2250 SOQUEL AVE, Santa Cruz, CA 95062
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
Marriage & Family Therapist
2250 SOQUEL AVE, STE 100
SANTA CRUZ, CA 95062
SANTA CRUZ, CA 95062
Registered Nurse (Psychiatric/Mental Health)
2250 SOQUEL AVE, SUITE 100
SANTA CRUZ, CA 95062
SANTA CRUZ, CA 95062
Registered Nurse (Psychiatric/Mental Health)
2250 SOQUEL AVE, STE 100
SANTA CRUZ, CA 95062
SANTA CRUZ, CA 95062
Registered Nurse (Psychiatric/Mental Health)
2250 SOQUEL AVE
SANTA CRUZ, CA 95062
SANTA CRUZ, CA 95062
Registered Nurse (Psychiatric/Mental Health)
2250 SOQUEL AVE, SUITE 100
SANTA CRUZ, CA 95062
SANTA CRUZ, CA 95062
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942179619, enumerated as an "individual" on November 01, 2025.
The provider is located at 2250 SOQUEL AVE SANTA CRUZ, CA 95062 and the phone number is (830) 600-2800.
Clinical Nurse Specialist with taxonomy code 364SP0812X and a focus in Psychiatric/Mental Health, Community.