Individual provider · Type 1 NPI
Marta Ivanna Bodnaruk, NURSE PRACTITIONER
Family Nurse Practitioner · San Diego, CA
NPI number
1780356279
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95018328 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1780356279
Marta Ivanna Bodnaruk, NURSE PRACTITIONER's National Provider Identifier is 1780356279, issued on Oct 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Jan 10, 2023.