Individual provider · Type 1 NPI

Mary Madrigal Sandoval, RN, PHN, FNP

Family Nurse Practitioner · San Jacinto, CA

NPI number 1760829543 Active

Practice location

607 Donna Way
San Jacinto, CA 92583-5517

Fax (951) 654-3917

Mailing address

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse 163WC1500X531242 (CA)
Family Nurse Practitioner Primary 363LF0000X95013490 (CA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1760829543

Mary Madrigal Sandoval, RN, PHN, FNP's National Provider Identifier is 1760829543, issued on Jun 3, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Jacinto, CA. The record was last updated on Aug 29, 2020.