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Maryellen Boczar Green, FNP
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1285817924

Maryellen Boczar Green is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Maryellen Boczar Green practices in San Diego, CA and has the professional credentials of FNP. The NPI Number for Maryellen Boczar Green is 1285817924 and holds a License No. 347863 (California).

The current practice location address for Maryellen Boczar Green is 5500 Campanile Dr, San Diego, CA and can be reached out via phone at 619-594-5281 and via fax at 619-594-3638.

Location: 5500 Campanile Dr, San Diego, CA, 92182-4701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285817924
Provider Name
Maryellen Boczar Green
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
5500 Campanile Dr, San Diego, CA, 92182-4701
Phone Number
619-594-5281
Fax Number
619-594-3638
Provider Enumeration Date
12/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5500 Campanile Dr
City
San Diego
State
California
Zip
92182-0001
Phone Number
619-594-5281
Fax Number
619-594-3638
person
Provider Business Mailing Address Details
Address
5500 Campanile Dr
City
San Diego
State
California
Zip
92182-0001
Phone Number
619-594-5281
Fax Number
619-594-3638
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
347863 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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