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General NPI Number Information
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NPI Number | 1114560182
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Entity Type | Individual
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Provider Name | MICHELLE HABRUSIEV PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 830 STEWART DR STE 271
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City | SUNNYVALE
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State | CA
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Zip | 94085-4513
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Country | US
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Telephone | 408-400-3967
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Fax | 408-413-1051
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Provider Business Mailing Address
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Address Line | 830 STEWART DR STE 271
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City | SUNNYVALE
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State | CA
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Zip | 94085-4513
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Country | US
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Telephone | 408-400-3967
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Fax | 408-413-1051
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404183
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95021862
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 712240
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License Number State | NY
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