Ivory Adanza
Ivory Adanza is a Nurse Practitioner in Stockton, California. Qualified in 2014, 12 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 12
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
1801 E March Ln Ste D480Stockton, CA 95210-6681
Phone: (209) 954-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Health Nurse Practitioner (primary) | Taxonomy 363LX0106X · Licence 95001966 (CA) |
|---|
Record details
| NPI number | 1053702159 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 10, 2015 |
| Last updated in NPPES | February 10, 2015 |
| Mailing address | 1801 E March Ln Ste D480, Stockton, CA 95210-6681 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Permanente Medical Group Inc — 10941 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |