Healthcare Provider Details
I. General information
NPI: 1255184495
Provider Name (Legal Business Name): BRITTANY PALLADINO DNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/08/2024
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2230 STOCKTON BLVD
SACRAMENTO CA
95817-1353
US
IV. Provider business mailing address
933 45TH ST
MANGONIA PARK FL
33407-2413
US
V. Phone/Fax
- Phone: 916-734-3574
- Fax:
- Phone: 954-601-4435
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Registered Nurse |
| License Number | RN9439303 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | NP95029826 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: