Mary Ahmadi
Individual provider Active NPI Licensed Vocational Nurse · Fremont, CA
NPI 1003083452 · NPPES record last updated May 14, 2008
Key facts
- NPI
- 1003083452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 128189 (CA)
- Practice address
- 2296 Country Dr
Fremont, CA 94536-5315 - Phone
- (510) 792-3555
- Fax
- (510) 797-7205
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128189 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 128189 | CA | Yes |
Addresses
Primary practice location
2296 Country Dr
Fremont, CA 94536-5315
Mailing address
2296 Country Dr
Fremont, CA 94536-5315
Phone (510) 792-3555
Other providers in Fremont, CA
- Fatima Aziz Ahmad
- Rachida Ahmad
- Rania Ahmad
- Shahrin Ahmad
- Ebrahim Ahmadi
- Hiba Ahmed
- Mohammad Raheemuddin Ahmed
- Rabbia Ahmed
- Uzma Ahmed
- Yasir Ahmed
All providers in Fremont, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.