Healthcare Provider Details

I. General information

NPI: 1114616992
Provider Name (Legal Business Name): RONAK SOLIEMANNJAD PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 05/05/2023
Certification Date: 01/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 STOCKDALE HWY
BAKERSFIELD CA
93309-2021
US

IV. Provider business mailing address

7850 WHITE LN STE E301
BAKERSFIELD CA
93309-7698
US

V. Phone/Fax

Practice location:
  • Phone: 661-735-8860
  • Fax:
Mailing address:
  • Phone: 661-735-8860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95024983
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: