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Gracielle Mae Ejanda Advincula, NP
Family Nurse Practitioner in El Cajon, California
NPI 1376208975

Gracielle Mae Ejanda Advincula is a Family Nurse Practitioner based in Chula Vista, CA and is specialized in Family. Gracielle Mae Ejanda Advincula practices in El Cajon, CA and has the professional credentials of NP. The NPI Number for Gracielle Mae Ejanda Advincula is 1376208975 and holds a License No. 95018873 (California).

The current practice location address for Gracielle Mae Ejanda Advincula is 1306 Broadway, El Cajon, CA and can be reached out via phone at 619-551-7400.

Location: 1306 Broadway, El Cajon, CA, 91915-2900
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Provider Profile Details
NPI Number
1376208975
Provider Name
Gracielle Mae Ejanda Advincula
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1306 Broadway, El Cajon, CA, 91915-2900
Phone Number
619-551-7400
Fax Number
Provider Enumeration Date
11/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95018873 01 CA NP STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1306 Broadway
City
State
Zip
92021-5810
Phone Number
619-551-7400
Fax Number
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Provider Business Mailing Address Details
Address
1306 Broadway
City
State
Zip
92021-5810
Phone Number
619-551-7400
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95018873 (California)
Definition
Definition to come...
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