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NPI Code Detail

MEDICARE: ANISA NAVA PPS SCHOOL COUNSELOR

MEDICARE: ANISA NAVA PPS SCHOOL COUNSELOR
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
1101YS0200XSchool Counselor

General Provider Information

NPI Number : 1811881568
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANISA NAVA PPS SCHOOL COUNSELOR
Provider Business Mailing Address
First Line : 601 5TH AVE
Second Line :
City : UPLAND
State : CA
Zip : 91786-4839
Country : US
Telephone Number : 909-949-7804
Fax Number :
Provider Business Practice Location Address
First Line : 601 5TH AVE
Second Line :
City : UPLAND
State : CA
Zip : 91786-4839
Country : US
Telephone Number : 909-949-7804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2025
Last Update Date : 06/06/2025

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