Individual provider · Type 1 NPI
Maia Entropo, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Santa Cruz, CA
NPI number
1689013559
Active
Practice location
1505 Soquel Dr Ste 9
Santa Cruz, CA 95065-1716
Other practice locations
- 751 S Bascom Ave, San Jose, CA 95128-2604 · (408) 885-6640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 708291 (CA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | NP23575 (CA) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1689013559
Maia Entropo, NURSE PRACTITIONER's National Provider Identifier is 1689013559, issued on Jun 24, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Santa Cruz, CA. The record was last updated on Jul 21, 2022.