Asili Institute For Women'S Brain Health, Trauma & Recovery
Nurse Practitioner, Psych/Mental Health in Santa Rosa, CA. Organization (NPI-2).
NPI number1992625735
StatusActive
Last updated in NPPESOct 11, 2026
Details
- NPI
- 1992625735
- Entity type
- Organization (NPI-2)
- Legal business name
- Asili Institute For Women'S Brain Health, Trauma & Recovery
- Organization subpart
- No
- Enumeration date
- Jul 20, 2026
- Certification date
- Oct 11, 2026
- Last updated
- Oct 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | |
| 363LW0102X | Nurse Practitioner, Women's Health | – | – |
Practice location
558 B StSanta Rosa, CA 95401-5240
Phone 916-842-8310
Mailing address
Po Box 11643Santa Rosa, CA 95406-1643
Phone 916-842-8310
Authorized official
Selamawit T Gebrezghi
Ceo/Founder
9168428310
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