Healthcare Provider Details

I. General information

NPI: 1255854972
Provider Name (Legal Business Name): NILDA LLORIN REGISTERED NUEAW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2641 NEW HAVEN PL
OXNARD CA
93035
US

IV. Provider business mailing address

2641 NEW HAVEN PL
OXNARD CA
93035-1234
US

V. Phone/Fax

Practice location:
  • Phone: 805-279-7184
  • Fax:
Mailing address:
  • Phone: 805-279-7184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number402899
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: