Individual
NELLY M PADFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6270 TERRACINA AVE, RANCHO CUCAMONGA, CA 91737-6916
(760) 508-6698
Mailing address
6270 TERRACINA AVE, RANCHO CUCAMONGA, CA 91737-6916
(760) 508-6698
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
95012897
CA
363LF0000X
Family Nurse Practitioner
95012897
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95012897
NP
—
05
—
95012897
—
CA
Enumeration date
12/02/2019
Last updated
10/23/2024
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