Individual provider · Type 1 NPI
Andrea Mascorro
Psychiatric/Mental Health Registered Nurse · Grass Valley, CA
NPI number
1104217173
Active
Practice location
500 Crown Point Cir, #100
Grass Valley, CA 95945-9561
Mailing address
245 Foresthill Ave
Auburn, CA 95603-4343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 787310 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1104217173
Andrea Mascorro's National Provider Identifier is 1104217173, issued on Feb 12, 2015. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Grass Valley, CA. The record was last updated on Feb 12, 2015.