Individual provider · Type 1 NPI
Ivory Adanza
Occupational Health Nurse Practitioner · Stockton, CA
NPI number
1053702159
Active
Practice location
1801 E March Ln Ste D480
Stockton, CA 95210-6681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Health Nurse Practitioner Primary | 363LX0106X | 95001966 (CA) |
Occupational Health Nurse Practitioner: Definition to come...
About NPI 1053702159
Ivory Adanza's National Provider Identifier is 1053702159, issued on Feb 10, 2015. The primary taxonomy on file is Occupational Health Nurse Practitioner (363LX0106X), and the practice location is in Stockton, CA. The record was last updated on Feb 10, 2015.