Healthcare Provider Details

I. General information

NPI: 1861347601
Provider Name (Legal Business Name): TYHESHA WARE DNP,RN,NP,PHN,PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4827 SWINFORD CT
DUBLIN CA
94568-7809
US

IV. Provider business mailing address

4827 SWINFORD CT
DUBLIN CA
94568-7809
US

V. Phone/Fax

Practice location:
  • Phone: 510-460-5933
  • Fax:
Mailing address:
  • Phone: 510-460-5933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number562252
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95250430
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95039707
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: