Sidavanh, Mary

Sidavanh, Mary is an sole proprietor health care provider with primary practice located at 1125 Coast Village Rd , Santa Barbara CA 93108-2716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Sidavanh, Mary can be contacted via phone (805) 364-2814.

Contact Information

Primary practice address
1125 Coast Village Rd Santa Barbara CA 93108-2716
Phone: (805) 364-2814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95034579 California

Profile Details

NPI number 1881588333
LBN Legal business name Sidavanh, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2025
Last updated Jun 6th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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