Dwana Anjel Nicholson, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

626142 Issued in CA

Practice address

11107 S Van Ness Ave
Inglewood, CA 90303-2554

Phone

(310) 892-1472

NPI assigned

Mar 29, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1891373262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 S VAN NESS AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032554",
            "telephone_number": "310-892-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11107 S VAN NESS AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032554",
            "telephone_number": "310-892-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "DWANA",
        "middle_name": "ANJEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "626142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh Trong Nguyen
• James Anthony Nguyen, D.D.S.
• Michael Viet Nguyen, DDS
• Nicole Dao Nguyen, PHARMD
• Tram Elayne Bich Thi Nguyen
• Nick Dzebolo MD Inc
• Patricia Lynn Nielsen
• Daniel Nader Niknam, DO
• Jamshid Niknam, M.D.
• Nina C Robinson, DPM LLC

• Acute Care Nurse Practitioner in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.