Provider Demographics
NPI:1306243860
Name:ADKINS, DANICA HELEN WHISMAN (NP)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:HELEN WHISMAN
Last Name:ADKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DANICA
Other - Middle Name:HELEN
Other - Last Name:WHISMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 UCLA MEDICAL PLZ STE 214
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-8358
Practice Address - Country:US
Practice Address - Phone:310-794-7788
Practice Address - Fax:310-794-1039
Is Sole Proprietor?:No
Enumeration Date:2014-11-28
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA719482163W00000X
CANP95001556363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse