Individual provider · NPI-1

Nia Susan Bakewell, RN

Registered Nurse, Diabetes Educator · Torrance, CA

NPI number1407560741
StatusActive
Last updated in NPPESJan 11, 2023

Details

NPI
1407560741
Entity type
Individual (NPI-1)
Name
Nia Susan Bakewell
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2023
Certification date
Jan 10, 2023
Last updated
Jan 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes Educator401346CAYes
163WP2201X Registered Nurse, Ambulatory Care401346CA

Practice location

1000 W Carson St
Torrance, CA 90502-2059

Phone 424-306-8132

Mailing address

1000 W Carson St
Torrance, CA 90502-2004

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