Individual provider · Type 1 NPI
Mary Elaine Constantino Aguilar-Choomngern, NP
Medical-Surgical Registered Nurse · Long Beach, CA
NPI number
1033765474
Active
Practice location
2801 Atlantic Ave
Long Beach, CA 90806-1701
Mailing address
5601 Wagner Ave
Lakewood, CA 90712-1467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP95009689 (CA) |
| Adult Health Nurse Practitioner | 363LA2200X | NP95009689 (CA) |
| Gerontology Nurse Practitioner | 363LG0600X | NP95009689 (CA) |
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 713511 (CA) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1033765474
Mary Elaine Constantino Aguilar-Choomngern, NP's National Provider Identifier is 1033765474, issued on Aug 12, 2019. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Long Beach, CA. The record was last updated on Aug 12, 2019.