Individual provider · Type 1 NPI

Myra Gale Mara Gavini

Registered Nurse · Corona, CA

NPI number 1093620809 Active

Practice location

280 Teller St Ste 120
Corona, CA 92879-1888

Call (909) 825-7084 Map

Fax (909) 422-3004

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95044900 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1093620809

Myra Gale Mara Gavini's National Provider Identifier is 1093620809, issued on Aug 17, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Corona, CA. The record was last updated on Oct 22, 2026.