Danica Dhaliwal

Individual provider Active NPI Registered Nurse · Colusa, CA

NPI 1619645090 · NPPES record last updated Sep 1, 2021

Key facts

NPI
1619645090
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
95251004 (CA)
Practice address
1021 Bridge St
Colusa, CA 95932-2839
Phone
(800) 748-3243
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
95251004CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 95251004 CA
Registered Nurse 163W00000X 95251004 CA Yes

Addresses

Primary practice location

1021 Bridge St
Colusa, CA 95932-2839

Mailing address

30 Hunter LN
Camp Hill, PA 17011-2400

Other providers in Colusa, CA

All providers in Colusa, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.