Individual provider · Type 1 NPI

Tamana Mehdavi

Nurse Practitioner · Hayward, CA

NPI number 1629639984 Active

Practice location

22331 Mission Blvd
Hayward, CA 94541-3911

Mailing address

651 Folsom Ave # A
Hayward, CA 94544-6404

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95010487 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629639984

Tamana Mehdavi's National Provider Identifier is 1629639984, issued on Jun 26, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hayward, CA. The record was last updated on Jun 26, 2019.