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Contact Information

NEDLEY CLINIC P C
20601 W PAOLI LN
WEIMAR, CA95736
 Phone: 530-422-7920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for NEDLEY CLINIC P C · (Female)

NPI Number 1134214471
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 11/15/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 1658
  • OK License # 16858
  • OK Medicaid 100710290A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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