Provider Demographics
NPI:1386440055
Name:MIND FLIP HEALTH NURSING, P.C.
Entity type:Organization
Organization Name:MIND FLIP HEALTH NURSING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LADRINGAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:707-663-4958
Mailing Address - Street 1:1148 SEVERUS DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-1482
Mailing Address - Country:US
Mailing Address - Phone:707-663-4958
Mailing Address - Fax:707-203-8373
Practice Address - Street 1:821 E 2ND ST STE 104
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3344
Practice Address - Country:US
Practice Address - Phone:707-663-4958
Practice Address - Fax:707-203-8373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service