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NANETTE LYN MEDIN ANP NPI 1629173216


NPI Information

NPI: 1629173216
Provider Name: NANETTE LYN MEDIN, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
2280 HARRISON AVE
SUITE B
EUREKA, CA
ZIP 95501
Phone: (707) 443-9371
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Nanette Lyn Medin, ANP is an adult health nurse practitioner in Eureka, CA. Nanette Lyn Medin, ANP NPI is 1629173216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2280 HARRISON AVE
SUITE B
EUREKA, CA
ZIP 95501-200
Phone: (707) 443-9371

The enumeration date for this NPI number is 9/14/2006 and was last updated on 6/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNP7883CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S75166MEDICARE UPIN
2ZZZ16124ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.