Healthcare Provider Details

I. General information

NPI: 1477067023
Provider Name (Legal Business Name): FLORINDA DAQUIZ NICOLAS RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2017
Last Update Date: 11/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 YGNACIO VALLEY RD
WALNUT CREEK CA
94598-3122
US

IV. Provider business mailing address

3170 OAK RD APT 311
WALNUT CREEK CA
94597-7730
US

V. Phone/Fax

Practice location:
  • Phone: 925-939-3000
  • Fax: 925-308-8944
Mailing address:
  • Phone: 661-330-3003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number68125
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: