Individual provider · Type 1 NPI

Mahogani Lewis

Nurse's Aide · Santa Clara, CA

NPI number 1720854003 Active

Practice location

4699 Old Ironsides Dr Ste 230
Santa Clara, CA 95054-1858

Call (408) 863-1705 Map

Mailing address

20124 24th Avenue Ct E
Spanaway, WA 98387-6983

Specialties and licenses

Taxonomy	Code	License
Nurse's Aide Primary	376K00000X	NC61483080 (WA)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

5 other providers at this address

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About NPI 1720854003

Mahogani Lewis's National Provider Identifier is 1720854003, issued on Nov 28, 2023. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Santa Clara, CA. The record was last updated on Nov 28, 2023.