Healthcare Provider Details

I. General information

NPI: 1033429204
Provider Name (Legal Business Name): MARY ANN NIHART PMHNP-BC, PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 HILTON LN
PACIFICA CA
94044-8039
US

IV. Provider business mailing address

146 HILTON LN
PACIFICA CA
94044-8039
US

V. Phone/Fax

Practice location:
  • Phone: 650-359-7624
  • Fax: 650-359-7624
Mailing address:
  • Phone: 650-359-7624
  • Fax: 650-359-7624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number834
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: