Individual provider · Type 1 NPI

Mayra Shirley Ponce, FNP

Family Nurse Practitioner · Huntington Park, CA

NPI number 1225549439 Active

Practice location

2638 E Florence Ave
Huntington Park, CA 90255-4708

Mailing address

11261 Ratliffe St
Norwalk, CA 90650-2779

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95026873 (CA)
Family Nurse Practitioner 363LF0000XAPRN11023540 (FL)
Registered Nurse 163W00000X9536305 (FL)
Registered Nurse 163W00000X95253221 (CA)
Surgical Assistant 246ZC0007X17-419 (CA)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1225549439

Mayra Shirley Ponce, FNP's National Provider Identifier is 1225549439, issued on Oct 14, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Huntington Park, CA. The record was last updated on Sep 6, 2024.