Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Promila M Mahtab, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1679703136

MS. Promila M Mahtab, RN is a Psychiatric/Mental Health Registered Nurse in Fresno, California. Works from 7 locations. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3141 N Millbrook Ave
Fresno, CA 93703
Phone: (559) 453-1008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 4411 E Cesar Chavez Blvd, Fresno, CA 93702-3604 — (559) 453-1008
  • 4411 E. Kings Canyon Rd, Fresno, CA 93702 — (559) 453-1008
  • 3127 N Millbrook Ave, Fresno, CA 93703-1425 — (559) 453-1008
  • 3147 N Millbrook Ave, Fresno, CA 93703-1425 — (559) 453-1008
  • 3133b N Millbrook Ave, Fresno, CA 93703-1425 — (559) 453-1008
  • 3520 E Shields Ave Ste 102, Fresno, CA 93726-6923 — (559) 538-1230

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 499674 (CA)

Record details

NPI number1679703136
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 19, 2009
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

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