Individual provider · NPI-1

Griselda Beauvais

Nurse Practitioner · Ventura, CA

NPI number1184481335
StatusActive
Last updated in NPPESMar 6, 2024

Details

NPI
1184481335
Entity type
Individual (NPI-1)
Name
Griselda Beauvais
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 4, 2024
Certification date
Mar 6, 2024
Last updated
Mar 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner95028784CAYes

Practice location

800 S Victoria Ave
Ventura, CA 93009-0002

Phone 805-654-3343

Mailing address

800 S Victoria Ave
Ventura, CA 93009-0002

Phone 805-654-3343

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