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NPI Code Detail

MEDICARE: DAPHINE ATUHAIRE RN, BSN

MEDICARE: DAPHINE ATUHAIRE RN, BSN
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1700719556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAPHINE ATUHAIRE RN, BSN
Provider Business Mailing Address
First Line : 1240 S BRONSON AVE APT 4
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-3585
Country : US
Telephone Number : 717-992-7518
Fax Number :
Provider Business Practice Location Address
First Line : 1774 ZONAL AVE BLDG D
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1064
Country : US
Telephone Number : 717-992-7518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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