IndividualActive
Ivory Adanza
NPI 1053702159 · Occupational Health Nurse Practitioner · Stockton, CA
Provider details
- NPI number
- 1053702159
- Entity type
- Individual
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 95001966 (CA)
Practice location
1801 E March Ln Ste D480
Stockton, CA 95210-6681
Phone: (209) 954-3200
Mailing address
1801 E March Ln Ste D480
Stockton, CA 95210-6681
Registry dates
- Enumerated
- 2015-02-10
- Last updated
- 2015-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.