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NPI Code Detail

MEDICARE: PHOEBE VERA SCHOLAR RN

MEDICARE: PHOEBE VERA SCHOLAR RN
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
1163W00000XRegistered Nurse95258476CA

General Provider Information

NPI Number : 1871410696
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHOEBE VERA SCHOLAR RN
Provider Business Mailing Address
First Line : 525 12TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-4927
Country : US
Telephone Number : 916-646-2770
Fax Number :
Provider Business Practice Location Address
First Line : 525 12TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-4927
Country : US
Telephone Number : 916-646-2770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2026
Last Update Date : 07/02/2026

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Directions to “ PHOEBE VERA SCHOLAR RN” Practice Location

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