MAVIS I. FREEMAN NPI 1518839398

NPI Information

  • NPI: 1518839398
  • Provider Name: MAVIS I. FREEMAN
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 3905 SAN PABLO DAM RD
    EL SOBRANTE, CA
    ZIP 94803
  • Phone: (510) 390-5467

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NPI Details

Mavis I. Freeman is a critical care medicine registered nurse in El Sobrante, CA. Mavis I. Freeman NPI is 1518839398. 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:

3905 SAN PABLO DAM RD
EL SOBRANTE, CA
ZIP 94803-823
Phone: (510) 390-5467
Fax: (510) 229-3022

The enumeration date for this NPI number is 9/22/2025 and was last updated on 9/22/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WA2000XRegistered NurseAdministrator728470CALIFORNIANo
2163WC0200XRegistered NurseCritical Care Medicine28286205CINDIANANo
3163WC0400XRegistered NurseCase Management728470CALIFORNIANo
4163WC1500XRegistered NurseCommunity Health728470CALIFORNIANo
5163WC1600XRegistered NurseContinuing Education/Staff Development728470CALIFORNIANo
6163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent728470CALIFORNIANo
7163WP0808XRegistered NursePsychiatric/Mental Health728470CALIFORNIANo
8163WP0809XRegistered NursePsychiatric/Mental Health, Adult728470CALIFORNIANo
9163WW0000XRegistered NurseWound Care728470CALIFORNIANo
10163WX1500XRegistered NurseOstomy Care728470CALIFORNIANo
11171M00000XCase Manager/Care Coordinator728470CALIFORNIANo
12251C00000XDay Training, Developmentally Disabled Services728470CALIFORNIANo
13163WC0200XRegistered NurseCritical Care Medicine728470CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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