Provider Demographics
NPI:1861670705
Name:MAGEE, ADRIANA (FNP)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:MAGEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 MORRO AVE
Mailing Address - Street 2:UNIT H
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-2161
Mailing Address - Country:US
Mailing Address - Phone:805-440-5935
Mailing Address - Fax:805-772-3818
Practice Address - Street 1:1255 LAS TABLAS ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-9750
Practice Address - Country:US
Practice Address - Phone:805-434-2434
Practice Address - Fax:805-434-5249
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17454363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily