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NPI Code Detail

MEDICARE: NICOLE SKINNER MAGANA

MEDICARE: NICOLE SKINNER MAGANA
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 Program
2101YM0800XMental Health Counselor
3373H00000XDay Training/Habilitation Specialist
4172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1881363398
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SKINNER MAGANA
Provider Business Mailing Address
First Line : 751 E DAILY DR STE 320
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-0772
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 751 E DAILY DR STE 320
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-0772
Country : US
Telephone Number : 805-469-2647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2021
Last Update Date : 06/29/2026

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Directions to “ NICOLE SKINNER MAGANA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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