Healthcare Provider Details

I. General information

NPI: 1861307373
Provider Name (Legal Business Name): SARA SHEENA ELLIOTT APRN, MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 OAK GROVE RD STE A&C
CONCORD CA
94518-3225
US

IV. Provider business mailing address

1034 OAK GROVE RD STE A&C
CONCORD CA
94518-3225
US

V. Phone/Fax

Practice location:
  • Phone: 925-655-1500
  • Fax:
Mailing address:
  • Phone: 925-655-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNPF95036752
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: