Healthcare Provider Details

I. General information

NPI: 1861020448
Provider Name (Legal Business Name): NURI OHN ALBERGA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8880 RIO SAN DIEGO DR FL 8
SAN DIEGO CA
92108-1642
US

IV. Provider business mailing address

8880 RIO SAN DIEGO DR FL 8
SAN DIEGO CA
92108-1642
US

V. Phone/Fax

Practice location:
  • Phone: 858-648-5756
  • Fax: 858-422-4791
Mailing address:
  • Phone: 858-648-5756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95020632
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95129227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: