Individual provider · Type 1 NPI
Mark Rainier Nazareno, FNP
Family Nurse Practitioner · Tracy, CA
NPI number
1114688769
Active
Practice location
1220 Valencia Dr
Tracy, CA 95377-8972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95019231 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114688769
Mark Rainier Nazareno, FNP's National Provider Identifier is 1114688769, issued on Jan 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tracy, CA. The record was last updated on Jan 5, 2022.