Individual provider · Type 1 NPI

Maryalice Elizabeth Khan, RN PHN

Registered Nurse · Costa Mesa, CA

NPI number 1639446289 Active

Practice location

151 Kalmus Dr, Suite K-3
Costa Mesa, CA 92626-5988

Fax (714) 242-9268

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X430219 (CA)
Community Health Registered Nurse 163WC1500X55185 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1639446289

Maryalice Elizabeth Khan, RN PHN's National Provider Identifier is 1639446289, issued on Nov 28, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Nov 28, 2011.