Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY SIDAVANH, NP
Active Sole ProprietorMARY SIDAVANH, NP is a Primary Care Nurse Practitioner healthcare provider located in SANTA BARBARA, California. NPI 1881588333 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · SANTA BARBARA, CA
Registration Details
- NPI Number
- 1881588333
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2025 (1.0086627966811 yrs)
- Last Updated
- Jun 6, 2025
- License
-
95034579 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1125 COAST VILLAGE RDSANTA BARBARA, CA, 931082716Browse CA providers · Browse ZIP 93108
- Phone
- 8053642814
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in SANTA BARBARA, CA
| Name | Credential | NPI |
|---|---|---|
| MARIE ANN HANSEN HENDERSON | N.P. | 1457308496 |
| SHARON LEITZEL WILLIS | NP | 1053729012 |
| CAMMIE MARIE MILLER | FNP | 1467282814 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.