Individual provider · Type 1 NPI

Merry Grace Emilio Conserman-Gayos, NP

Nurse Practitioner · Los Angeles, CA

NPI number 1700556347 Active

Practice location

1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Clinical Nurse Specialist 364S00000X4921 (CA)
Nurse Practitioner Primary 363L00000X95016756 (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 1700556347

Merry Grace Emilio Conserman-Gayos, NP's National Provider Identifier is 1700556347, issued on Sep 15, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 3, 2022.