Individual provider · Type 1 NPI
Jodi Ann Mainwal, RN
Nephrology Registered Nurse · Irvine, CA
NPI number
1932628005
Active
Practice location
11 Technology Dr # Ms 41
Irvine, CA 92618-2302
Fax (949) 923-3520
Mailing address
17638 Wildflower Pl
Chino Hills, CA 91709-3264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 494337 (CA) |
| Hemodialysis Registered Nurse | 163WH0500X | 494337 (CA) |
| Nephrology Registered Nurse Primary | 163WN0300X | 494337 (CA) |
Nephrology Registered Nurse: Definition to come...
About NPI 1932628005
Jodi Ann Mainwal, RN's National Provider Identifier is 1932628005, issued on Sep 11, 2017. The primary taxonomy on file is Nephrology Registered Nurse (163WN0300X), and the practice location is in Irvine, CA. The record was last updated on Sep 11, 2017.