Provider Demographics
NPI:1558915116
Name:PASINI, MIA ELIZABETH (PMHNP)
Entity type:Individual
Prefix:
First Name:MIA
Middle Name:ELIZABETH
Last Name:PASINI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 SAN JULIAN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-2040
Mailing Address - Country:US
Mailing Address - Phone:805-452-1099
Mailing Address - Fax:
Practice Address - Street 1:258 SAN JULIAN AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-2040
Practice Address - Country:US
Practice Address - Phone:805-452-1099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95155178163WP0808X
CANP95030245363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health