Individual provider · Type 1 NPI

Miki Masuda, AGNP ADULT/GERIATRIC

Nurse Practitioner · Fountain Valley, CA

NPI number 1467862227 Active

Practice location

11100 Warner Ave, Ste #154
Fountain Valley, CA 92708

Mailing address

11100 Warner Ave Ste 154
Fountain Valley, CA 92708-7510

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X23298 (CA)
Gerontology Nurse Practitioner 363LG0600X23298 (CA)
Nurse Practitioner Primary 363L00000X23298 (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 1467862227

Miki Masuda, AGNP ADULT/GERIATRIC's National Provider Identifier is 1467862227, issued on May 2, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fountain Valley, CA. The record was last updated on Jul 17, 2020.