Healthcare Provider Details

I. General information

NPI: 1386430361
Provider Name (Legal Business Name): JOSHUA PATRICK SEYMOUR RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: AVI AIMEE SEYSKY

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 HOPE ST # 331
MOUNTAIN VIEW CA
94041-1306
US

IV. Provider business mailing address

211 HOPE ST # 331
MOUNTAIN VIEW CA
94041-1306
US

V. Phone/Fax

Practice location:
  • Phone: 408-702-5214
  • Fax:
Mailing address:
  • Phone: 408-702-5214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number666988
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number666988
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number666988
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number666988
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number666988
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number666988
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number666988
License Number StateCA
# 8
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number666988
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: