MEDICARE: NADIA MARWAN SAKKA FLORES

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	363LF0000X	Family Nurse Practitioner	95023108	CA

General Provider Information

NPI Number	:	1386362309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIA MARWAN SAKKA FLORES

Provider Business Mailing Address
First Line	:	14713 CENTRAL COAST ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93314-4756
Country	:	US
Telephone Number	:	661-332-8818
Fax Number	:

Provider Business Practice Location Address
First Line	:	4817 CENTENNIAL PLAZA WAY UNIT C
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-1957
Country	:	US
Telephone Number	:	661-230-7344
Fax Number	:

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

Provider Enumeration Date	:	08/16/2022
Last Update Date	:	12/23/2022

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Directions to “ NADIA MARWAN SAKKA FLORES ” Practice Location

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