Individual provider · Type 1 NPI

Micheline Diane Iungerich, NP

Nurse Practitioner · Modesto, CA

NPI number 1396978367 Active

Practice location

2501 Mchenry Ave Ste F
Modesto, CA 95350-3257

Call (209) 522-9054 Map

Fax (209) 522-2631

Mailing address

2017 Monticello Ave
Modesto, CA 95350-2912

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4328 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396978367

Micheline Diane Iungerich, NP's National Provider Identifier is 1396978367, issued on Aug 25, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Modesto, CA. The record was last updated on Aug 25, 2009.