Davis, Nadezhda

Davis, Nadezhda is an individual health care provider with primary practice located at 2640 Industry Way , Lynwood CA 90262-4284. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davis, Nadezhda can be contacted via phone (310) 627-4525.

Contact Information

Primary practice address
2640 Industry Way Lynwood CA 90262-4284
Phone: (310) 627-4525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95080893 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP95013388 California

Profile Details

NPI number 1033269188
LBN Legal business name Davis, Nadezhda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Sep 22nd, 2020 - about 5 years 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 1033269188 NPPES
California MEDICAID 1306922554
California MEDICAID 1841342318
California MEDICAID 1265520183

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