Individual provider · Type 1 NPI
Miriam Avena-Mascareno, FNP-C
Family Nurse Practitioner · Petaluma, CA
NPI number
1629797246
Active
Practice location
1179 N Mcdowell Blvd
Petaluma, CA 94954-6559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95021379 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629797246
Miriam Avena-Mascareno, FNP-C's National Provider Identifier is 1629797246, issued on Aug 25, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Petaluma, CA. The record was last updated on Feb 13, 2023.