Individual provider · Type 1 NPI
Sharon Mae Gabertan Tenazas, NURSE PRACTITIONER
Pediatric Nurse Practitioner · Long Beach, CA
NPI number
1669548780
Active
Practice location
1045 Atlantic Ave, Suite 715
Long Beach, CA 90813-3408
Fax (562) 432-1864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN436900 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 436900 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1669548780
Sharon Mae Gabertan Tenazas, NURSE PRACTITIONER's National Provider Identifier is 1669548780, issued on Nov 28, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Long Beach, CA. The record was last updated on Jul 24, 2014.