Provider Demographics
NPI:1730382748
Name:NAVERA, NIEVES N (RN)
Entity type:Individual
Prefix:MS
First Name:NIEVES
Middle Name:N
Last Name:NAVERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:NIEVES
Other - Middle Name:N
Other - Last Name:NAVERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:199 GALLERY WAY
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-1112
Mailing Address - Country:US
Mailing Address - Phone:714-669-4300
Mailing Address - Fax:
Practice Address - Street 1:501 STUDENT HEALTH
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92697-5200
Practice Address - Country:US
Practice Address - Phone:949-824-8774
Practice Address - Fax:949-824-1378
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA362688163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care