Organization · Type 2 NPI

Mavie Clinic Professional Nursing Corporation

Family Nurse Practitioner · Patterson, CA

NPI number 1245189190 Active

Practice location

109 Portrait Ln
Patterson, CA 95363-8341

Call (209) 806-4841 Map

Fax (209) 290-3320

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

About NPI 1245189190

Mavie Clinic Professional Nursing Corporation's National Provider Identifier is 1245189190, issued on Jan 23, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Patterson, CA. The record was last updated on Jan 26, 2026.