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MARTHA N ADIGWE-MOZIA NP

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1225186133

Individual Registrant:
 MARTHA N ADIGWE-MOZIA NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
40 E MINARETS AVE  PINEDALE, CA 93650-1239 US
Tel: 559-436-0482  Fax: --

Contact information for business:
14150 GRANT ST SUITE 78 MORENO VALLEY, CA 92553-9114 US
Tel: 310-539-5722  Fax: --

Registration Information:
NPI: 1225186133
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
CA11282
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CANP11282
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA11282
N363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CAG1112004

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RAILROAD MEDICAREDU4034-P01508618CA01
EFF. 6/16/15CA05




HEALTH CARE JOBS CA - Page 1



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