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Mary Tiffany Cereneche, NP-C
Primary Care Nurse Practitioner in Laguna Beach, California
NPI 1093446957

Mary Tiffany Cereneche is a Primary Care Nurse Practitioner based in Irvine, CA and is specialized in Primary Care. Mary Tiffany Cereneche practices in Laguna Beach, CA and has the professional credentials of NP-C. The NPI Number for Mary Tiffany Cereneche is 1093446957 and holds a License No. NP95019956 (California).

The current practice location address for Mary Tiffany Cereneche is 333 Thalia St, Laguna Beach, CA and can be reached out via phone at 949-499-0577.

Location: 333 Thalia St, Laguna Beach, CA, 92614-7480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093446957
Provider Name
Mary Tiffany Cereneche
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
333 Thalia St, Laguna Beach, CA, 92614-7480
Phone Number
949-499-0577
Fax Number
Provider Enumeration Date
06/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 Thalia St
City
Laguna Beach
State
California
Zip
92651-2713
Phone Number
949-499-0577
Fax Number
person
Provider Business Mailing Address Details
Address
333 Thalia St
City
Laguna Beach
State
California
Zip
92651-2713
Phone Number
949-499-0577
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
NP95019956 (California)
Definition
Definition to come...
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