Healthcare Provider Details

I. General information

NPI: 1235294976
Provider Name (Legal Business Name): BARBARA ANN NAVOLANIC RN, PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 BECK AVE
FAIRFIELD CA
94533-6804
US

IV. Provider business mailing address

449 BRENTWOOD DR
BENICIA CA
94510-1438
US

V. Phone/Fax

Practice location:
  • Phone: 707-784-8600
  • Fax: 707-421-6618
Mailing address:
  • Phone: 707-745-8454
  • Fax: 707-421-6618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number217402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: