Individual provider · Type 1 NPI

Mia Tiscareno, FNP

Family Nurse Practitioner · Santa Rosa, CA

NPI number 1316354350 Active

Practice location

3569 Round Barn Cir
Santa Rosa, CA 95403-5781

Fax (707) 303-3611

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95000973 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1316354350

Mia Tiscareno, FNP's National Provider Identifier is 1316354350, issued on Jul 22, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 12, 2023.