Provider Demographics
NPI:1598068074
Name:WAY, NAZARETH HUOTH (NP)
Entity Type:Individual
Prefix:MRS
First Name:NAZARETH
Middle Name:HUOTH
Last Name:WAY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:5721 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-4738
Mailing Address - Country:US
Mailing Address - Phone:213-627-8018
Mailing Address - Fax:213-627-0018
Practice Address - Street 1:1701 E CESAR E CHAVEZ AVE
Practice Address - Street 2:STE. 402
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2464
Practice Address - Country:US
Practice Address - Phone:323-317-9200
Practice Address - Fax:323-317-9206
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2012-05-18
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Provider Licenses
StateLicense IDTaxonomies
CA20334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily