Liberty Thi Awa, is a
Clinical Nurse Specialist - Community Health/public Health based in El Cajon, California. Liberty Thi Awa is licensed to practice in California (license number 95147345) and her current practice location is
367 N Magnolia Ave, El Cajon, California. She can be reached at her office (for appointments etc.) via phone at
(619) 441-6500.
NPI number for Liberty Thi Awa is 1275000143 and her current mailing address is 2860 Comstock St, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275000143.
Provider's Profile
Full Name | Liberty Thi Awa |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Community Health/public Health |
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Location | 367 N Magnolia Ave, El Cajon, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275000143
- Provider Enumeration Date: 10/30/2018
- Last Update Date: 10/30/2018
Medical Identifiers
Medical identifiers for Liberty Thi Awa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275000143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SC1501X | Clinical Nurse Specialist - Community Health/public Health | 95147345 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Liberty Thi Awa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Liberty Thi Awa, 2860 Comstock St, San Diego, CA 92111-5506 Ph: (619) 792-7867 | Liberty Thi Awa, 367 N Magnolia Ave, El Cajon, CA 92020-3995 Ph: (619) 441-6500 |
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