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Mirene Guevarra
Family Nurse Practitioner in Lake Elsinore, California
NPI 1649946302

Mirene Guevarra is a Family Nurse Practitioner based in Lake Elsinore, CA and is specialized in Family. Mirene Guevarra practices in Lake Elsinore, CA. The NPI Number for Mirene Guevarra is 1649946302 and holds a License No. 95018158 (California).

The current practice location address for Mirene Guevarra is 425 Diamond Dr, Lake Elsinore, CA and can be reached out via phone at 951-674-4114.

Location: 425 Diamond Dr, Lake Elsinore, CA, 92530-4495
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649946302
Provider Name
Mirene Guevarra
Credential
Provider Entity Type
Individual
Gender
Female
Address
425 Diamond Dr, Lake Elsinore, CA, 92530-4495
Phone Number
951-674-4114
Fax Number
Provider Enumeration Date
08/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
425 Diamond Dr
City
Lake Elsinore
State
California
Zip
92530-4495
Phone Number
951-674-4114
Fax Number
person
Provider Business Mailing Address Details
Address
425 Diamond Dr
City
Lake Elsinore
State
California
Zip
92530-4495
Phone Number
951-674-4114
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95018158 (California)
Definition
Definition to come...
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