Individual provider · Type 1 NPI

Mary Johanna Ford

Family Nurse Practitioner · Larkspur, CA

NPI number 1922599802 Active

Practice location

17 E Sir Francis Drake Blvd
Larkspur, CA 94939-1727

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95004594 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1922599802

Mary Johanna Ford's National Provider Identifier is 1922599802, issued on May 25, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Larkspur, CA. The record was last updated on May 25, 2018.