Pope-Daum, Gaea Elena

Pope-Daum, Gaea Elena is an sole proprietor health care provider with primary practice located at 8775 Sierra College Blvd Ste 200 , Roseville CA 95661-5985. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Pope-Daum, Gaea Elena can be contacted via phone (844) 867-8444.

Contact Information

Primary practice address
8775 Sierra College Blvd Ste 200 Roseville CA 95661-5985
Phone: (844) 867-8444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95024689 California
Nursing Service Providers / Registered Nurse 163W00000X 789932 California

Profile Details

NPI number 1679878193
LBN Legal business name Pope-Daum, Gaea Elena
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2011
Last updated Apr 19th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679878193 NPPES
California Other 95024689 BOARD OF REGISTERED NURSING

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