Joel Aandahl, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Vallejo, CA
NPI 1891423653 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1891423653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 18819 (CA)
- Practice address
- 975 Sereno Dr
Vallejo, CA 94589-2441 - Phone
- (707) 651-1000
- NPI assigned
- Aug 10, 2022
- 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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18819 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 18819 | CA | Yes |
Addresses
Primary practice location
975 Sereno Dr
Vallejo, CA 94589-2441
Mailing address
14 Elba CT
American Canyon, CA 94503-1410
Phone (510) 815-0664
Other providers in Vallejo, CA
- 1527 Springs Road LLC
- 4TH Second
- A & W Dental Corporation
- A.K. Bean Foundation
- Aamt California, Inc.
- Theresa Abatayo
- James Edward Abellar
- Abode Services
- Abode Services
- Rebecca Esther Abraham
All providers in Vallejo, CA · Adult Health 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 Aug 10, 2022. 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.