Individual provider · Type 1 NPI
Tawnya Lee Macchiarella, NP
Pediatric Nurse Practitioner · San Diego, CA
NPI number
1194905489
Active
Practice location
3860 Calle Fortunada Ste 210
San Diego, CA 92123-4802
Fax (858) 309-6301
Mailing address
5310 Valle Vis
La Mesa, CA 91941-4259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 471188 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1194905489
Tawnya Lee Macchiarella, NP's National Provider Identifier is 1194905489, issued on Nov 5, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Diego, CA. The record was last updated on Nov 5, 2007.