MEDICARE: KRISTEN NAKANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95021331	CA

General Provider Information

NPI Number	:	1881327948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN NAKANO

Provider Business Mailing Address
First Line	:	1055 E COLORADO BLVD FL 5
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2327
Country	:	US
Telephone Number	:	323-207-0765
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 E COLORADO BLVD FL 5
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2327
Country	:	US
Telephone Number	:	323-207-0765
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	03/09/2026

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Directions to “ KRISTEN NAKANO ” Practice Location

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