MEDICARE: ALLISON JOYCE PADUA DE VERA MSN, RN, FNP, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95022698	CA

General Provider Information

NPI Number	:	1023935921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON JOYCE PADUA DE VERA MSN, RN, FNP, PMHNP

Provider Business Mailing Address
First Line	:	6535 HASKELL AVE APT 106
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-6124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 BEVERLY BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1804
Country	:	US
Telephone Number	:	805-588-8118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2026
Last Update Date	:	07/01/2026

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