Healthcare Provider Details

I. General information

NPI: 1750267688
Provider Name (Legal Business Name): NOVAHAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 1ST ST
SAN FRANCISCO CA
94105-2687
US

IV. Provider business mailing address

PO BOX 786
BETHEL ISLAND CA
94511-0786
US

V. Phone/Fax

Practice location:
  • Phone: 707-567-1674
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOSEPHINE HARTS
Title or Position: NP
Credential:
Phone: 323-676-1281