person
Miriam Avena-mascareno, FNP-C
Family Nurse Practitioner in Petaluma, California
NPI 1629797246

Miriam Avena-mascareno is a Family Nurse Practitioner based in Petaluma, CA and is specialized in Family. Miriam Avena-mascareno practices in Petaluma, CA and has the professional credentials of FNP-C. The NPI Number for Miriam Avena-mascareno is 1629797246 and holds a License No. 95021379 (California).

The current practice location address for Miriam Avena-mascareno is 1179 N Mcdowell Blvd, Petaluma, CA and can be reached out via phone at 707-559-7500.

Location: 1179 N Mcdowell Blvd, Petaluma, CA, 94954-6559
person
Provider Profile Details
NPI Number
1629797246
Provider Name
Miriam Avena-mascareno
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1179 N Mcdowell Blvd, Petaluma, CA, 94954-6559
Phone Number
707-559-7500
Fax Number
Provider Enumeration Date
08/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1179 N Mcdowell Blvd
City
State
Zip
94954-6559
Phone Number
707-559-7500
Fax Number
person
Provider Business Mailing Address Details
Address
1179 N Mcdowell Blvd
City
State
Zip
94954-6559
Phone Number
707-559-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95021379 (California)
Definition
Definition to come...
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