NAKIA ANTOINETTE EDWARDS


Address: 3405 Whistler Ave, Modesto, CA 95355-9738
Phone: 3344217476

NAKIA ANTOINETTE EDWARDS (NPI# 1548725310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548725310
Entity Type Individual
Full Name NAKIA ANTOINETTE EDWARDS
Other Name NAKIA ANTOINETTE POWELL
Practice Address 3405 Whistler Ave
Modesto
CA 95355-9738
Mailing Address 3055 Floyd Ave
Apt 245
Modesto
CA 95355-7932
Practice Telephone 3344217476
Mailing Telephone 3344217476
Enumeration Date 2019-02-06
Last Update Date 2019-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
1-141525 AL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
NP95011384 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3405 WHISTLER AVE
City MODESTO
State CA
Zip Code 95355-9738

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211793 I To I LLC Optometrist 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 2020-09-25
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1487133856 Natalie Vargas Behavior Technician 1317 Oakdale Road Suite 610, Modesto, CA 95355 2018-08-07
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316504541 Nesren Anton Azer Anton Nurse Practitioner 3509 Coffee Rd, Modesto, CA 95355-1356 2019-05-22
1336628965 Mollena Martinez Nurse Practitioner 3509 Coffee Rd, Modesto, CA 95355-1356 2018-08-14
1457898736 Ashley Marruffo Nurse Practitioner 817 Coffee Rd Ste D, Modesto, CA 95355-4241 2017-01-25
1588040299 Dave Cortes Dy Nurse Practitioner 730 17th St, Modesto, CA 95354-1209 2015-08-04
1295834778 Lennard Scot Hey Nurse Practitioner 2501 Mchenry Ave, Suite F, Modesto, CA 95350-3259 2006-09-21

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NPI Name Taxonomy Address Enumeration
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Competitor

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City MODESTO
Zip Code 95355

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Dataset Information

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.

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