Provider Demographics
NPI:1871313668
Name:NAHAMYA, MARGARET VANESSA (FNP-BC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:VANESSA
Last Name:NAHAMYA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25052 PINE MOUNTAIN TER
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-3097
Mailing Address - Country:US
Mailing Address - Phone:714-420-8815
Mailing Address - Fax:
Practice Address - Street 1:25052 PINE MOUNTAIN TER
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-3097
Practice Address - Country:US
Practice Address - Phone:714-420-8815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95032160363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily