=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700210093
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NELAB NAJRABI NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2013
-----------------------------------------------------
Last Update Date | 06/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1965 LIVE OAK BLVD
-----------------------------------------------------
City | YUBA CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95991-8850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-822-7200
-----------------------------------------------------
Fax | 530-822-7108
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1965 LIVE OAK BLVD
-----------------------------------------------------
City | YUBA CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95991-8850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-822-7200
-----------------------------------------------------
Fax | 530-228-7108
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WP0809X
-----------------------------------------------------
Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
License Number | 812027
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | NP95031261
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------