Aurora Guevarra Academia, NURSE PRACTITIONER
Individual provider Active NPI Nurse Practitioner · Daly City, CA
NPI 1336787167 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1336787167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 505124 (CA)
- Practice address
- 6717 Mission St Ste D
Daly City, CA 94014-2069 - Phone
- (650) 285-2503
- Fax
- (650) 285-2504
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 505124 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Home Health & Hospice LLC | Current |
Accepting new patients | |
| Alliance Home Health & Hospice LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 505124 | CA | Yes |
Addresses
Primary practice location
6717 Mission St Ste D
Daly City, CA 94014-2069
Mailing address
6717 Mission St Ste D
Daly City, CA 94014-2069
Phone (650) 285-2503
Other providers in Daly City, CA
- Bernadette Candy Canga Abellana
- Delia Payot Aberia
- Abl Hospice LLC
- Mandana Abollhassani
- Mazin Abuzahriyeh
- Ace Acupuncture Clinic LLC
- Active Medical Group of Northern Ca a Proffesional Corporation
- Acts Physical Therapy Inc.
- Antoinette Janine Adams
- Elizabeth Adams
All providers in Daly City, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. 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.