Individual provider · Type 1 NPI

Ed Carlo Hernandez Mariano

Adult Health Nurse Practitioner · Rancho Cucamonga, CA

NPI number 1396504510 Active

Practice location

10205 Chaparral Way Unit E
Rancho Cucamonga, CA 91730-3792

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNP95028467 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1396504510

Ed Carlo Hernandez Mariano's National Provider Identifier is 1396504510, issued on Mar 18, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Mar 18, 2024.