NANCY BUKOWSKI (NPI# 1174036875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174036875 |
| Entity Type | Individual |
| Full Name | NANCY BUKOWSKI |
| Other Name | NANCY COMAN, NYHUIS |
| Credential | RN |
| Practice Address |
720 Wood Street Eureka CA 95550 |
| Mailing Address |
2488 N Beachwood Dr Apt 6 Los Angeles CA 90068-3397 |
| Practice Telephone | 7072682990 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95106130 | CA | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95106130 | CA | Nursing Service Providers |
| Street Address |
720 WOOD STREET |
| City | EUREKA |
| State | CA |
| Zip Code | 95550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104953132 | Marcile Elizabeth Raney | Registered Nurse | 720 Wood Street, Eureka, CA 95501 | 2007-02-27 |
| 1548879646 | Robert Burton | Counselor | 720 Wood Street, Eureka, CA 95501-9550 | 2020-07-24 |
| 1083196448 | Nicole Calvino | Counselor | 720 Wood Street, Eureka, CA 95501 | 2018-09-02 |
| 1073030649 | Susan Ja Badra | Case Manager/Care Coordinator | 720 Wood Street, Eureka, CA 95501 | 2017-08-24 |
| 1053867655 | Gayle Bush Holcomb | Registered Nurse | 720 Wood Street, Eureka, CA 95501-4413 | 2016-09-01 |
| 1265986822 | Amy Piseno | Community Health Worker | 720 Wood Street, Eureka, CA 95501-4413 | 2016-08-11 |
| 1528403896 | Julie Lou Ann Kami-craven | Registered Nurse | 720 Wood Street, Eureka, CA 95501 | 2013-05-01 |
| 1104108661 | Whitney Camille Wirt | Case Manager/Care Coordinator | 720 Wood Street, Eureka, CA 95501 | 2011-09-12 |
| 1093037194 | Stephanie Anne Smith | Registered Nurse | 720 Wood Street, Eureka, CA 95501 | 2010-02-17 |
| 1972783744 | Humboldt County Probation Department | Case Management | 720 Wood Street, Eureka, CA 95501 | 2007-11-09 |
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| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104953132 | Marcile Elizabeth Raney | Registered Nurse | 720 Wood Street, Eureka, CA 95501 | 2007-02-27 |
| 1073127403 | Christiane Desir | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-02 |
| 1093325508 | Edmund Sanez Lao | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-08-09 |
| 1659980837 | Erin Lorraine Keilty | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-07-23 |
| 1629698139 | Johna Fay May | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-04-24 |
| 1659901791 | Debra Jean Pederson | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-01-16 |
| 1174174395 | Jerry Buscano Conde | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2019-09-28 |
| 1508413139 | Andrea E Mclymont | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2019-08-19 |
| 1639725559 | Arnold Baker | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2019-08-15 |
| 1902452287 | Gian Gizelle Alconcel Grasparil | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2019-08-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.