Individual provider · Type 1 NPI

Mary Azah

Community Health Registered Nurse · San Jose, CA

NPI number 1407208846 Active

Practice location

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Mailing address

1724 Samson Ct
San Jose, CA 95124-4600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X95005580 (CA)
Community Health Registered Nurse Primary 163WC1500X480700 (CA)

Community Health Registered Nurse: Definition to come...

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About NPI 1407208846

Mary Azah's National Provider Identifier is 1407208846, issued on Jul 11, 2016. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in San Jose, CA. The record was last updated on Feb 5, 2019.