| NPI | 1033071394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYKA JOHNSON Independent Nurse Provider 707-301-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WH0200X Registered Nurse, Home Health | |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |