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NPI Code Detail

MEDICARE: MAVIS BEKOE-SAKYI FNP

MEDICARE: MAVIS BEKOE-SAKYI FNP
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
1363LF0000XFamily Nurse Practitioner95000923CA

General Provider Information

NPI Number : 1619378411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAVIS BEKOE-SAKYI FNP
Provider Business Mailing Address
First Line : PO BOX 2055
Second Line :
City : TURLOCK
State : CA
Zip : 95381-2055
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2514 BERRYESSA RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95132-2947
Country : US
Telephone Number : 916-684-6822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2014
Last Update Date : 08/24/2021

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Directions to “ MAVIS BEKOE-SAKYI FNP” Practice Location

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