Individual provider · Type 1 NPI
Carol Anne Mock, FNP-CS
Family Nurse Practitioner · Hemet, CA
NPI number
1184748063
Active
Practice location
1695 S. San Jacinto Ave.
Hemet, CA 92583
Fax (818) 696-2590
Mailing address
22400 Gavilan Rd
Perris, CA 92570
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN235312 (CA) |
| Community Health Registered Nurse | 163WC1500X | PHN48338 (CA) |
| Licensed Vocational Nurse | 164X00000X | VN46925 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | NP11416 (CA) |
| Gerontology Clinical Nurse Specialist | 364SG0600X | CNS1131 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1184748063
Carol Anne Mock, FNP-CS's National Provider Identifier is 1184748063, issued on Mar 18, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hemet, CA. The record was last updated on Jul 19, 2011.