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Daisy Prom

NPI 1295428100 · on the registry since 2023 · sole proprietor

Practice

Address: 1891 Effie St
Los Angeles, CA 90026
Phone: (424) 653-6697
Organisation at this address: Gateways Rrc
Gateways Fctp
Gateways Percy Village B
Gateways Normandie Village
Gateway Hospital & Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 155

Registry record

Primary taxonomy: Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California