# MAVIS I. FREEMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1518839398
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | 728470 | CA | — |
| 163WC0200X | Critical Care Medicine Registered Nurse | 28286205C | IN | — |
| 163WC0200X | Critical Care Medicine Registered Nurse | 728470 | CA | Yes |
| 163WC0400X | Case Management Registered Nurse | 728470 | CA | — |
| 163WC1500X | Community Health Registered Nurse | 728470 | CA | — |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | 728470 | CA | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | 728470 | CA | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 728470 | CA | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | 728470 | CA | — |
| 163WW0000X | Wound Care Registered Nurse | 728470 | CA | — |
| 163WX1500X | Ostomy Care Registered Nurse | 728470 | CA | — |
| 171M00000X | Case Manager/Care Coordinator | 728470 | CA | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | 728470 | CA | — |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 09/22/2025