STACIE B DOURTHE MSN APRN PMHNP-BC NPI 1861112203

NPI Information

  • NPI: 1861112203
  • Provider Name: STACIE B DOURTHE, MSN, APRN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4346 EMPRESS AVE
    ENCINO, CA
    ZIP 91436
  • Phone: (805) 797-6495

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NPI Details

Stacie B Dourthe, MSN, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Encino, CA. Stacie B Dourthe, MSN, APRN, PMHNP-BC NPI is 1861112203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4346 EMPRESS AVE
ENCINO, CA
ZIP 91436-507
Phone: (805) 797-6495

The enumeration date for this NPI number is 8/29/2022 and was last updated on 1/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse577105CALIFORNIANo
2364S00000XClinical Nurse Specialist2200CALIFORNIANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health95028676CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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