Provider Demographics
NPI:1386430361
Name:SEYMOUR, JOSHUA PATRICK (RN)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:PATRICK
Last Name:SEYMOUR
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:AVI
Other - Middle Name:AIMEE
Other - Last Name:SEYSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:211 HOPE ST # 331
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1306
Mailing Address - Country:US
Mailing Address - Phone:408-702-5214
Mailing Address - Fax:
Practice Address - Street 1:211 HOPE ST # 331
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-1306
Practice Address - Country:US
Practice Address - Phone:408-702-5214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA666988163WA0400X, 163WC0400X, 163WD0400X, 163WE0003X, 163WI0500X, 163WH0200X, 163WN1003X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support