| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GAEA ELENA POPE-DAUM | 1679878193 | 2024-10-13 |
Gaea Elena Pope-daum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679878193. Registration indicates Gaea Elena Pope-daum is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Gaea Elena Pope-daum PMHNP-BC |
| Practice Office Address | 8775 SIERRA COLLEGE BLVD STE 200 ROSEVILLE, CA US |
| Practice Office Telephone | 8448678444 |
| Mailing Address | PO BOX 808 COLFAX, CA 957130808 US |
| Business Telephone | 5308024920 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 24077 State Highway 49 | Nevada City, CA 959598519 | 5302659057 |
| 406 Sunrise Ave # 300 | Roseville, CA 956614106 | 9167835207 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 789932
CA |
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 95024689
CA |
| 95024689 | OTHER | CA | BOARD OF REGIST |