person
Ms. Mary Madrigal Sandoval, RN,PHN,FNP
Family Nurse Practitioner in San Jacinto, California
NPI 1760829543

Mary Madrigal Sandoval is a Family Nurse Practitioner based in Grand Terrace, CA and is specialized in Family. Mary Madrigal Sandoval practices in San Jacinto, CA and has the professional credentials of RN,PHN,FNP. The NPI Number for Mary Madrigal Sandoval is 1760829543 and holds a License No. 531242 (California).

The current practice location address for Mary Madrigal Sandoval is 607 Donna Way, San Jacinto, CA and can be reached out via phone at 951-654-0803 and via fax at 951-654-3917.

Location: 607 Donna Way, San Jacinto, CA, 92313-5172
person
Provider Profile Details
NPI Number
1760829543
Provider Name
Mary Madrigal Sandoval
Credential
RN,PHN,FNP
Provider Entity Type
Individual
Gender
Female
Address
607 Donna Way, San Jacinto, CA, 92313-5172
Phone Number
951-654-0803
Fax Number
951-654-3917
Provider Enumeration Date
06/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95013490 01 CA BOARD OF REGISTERED NURSING
59378 01 CA BOARD OF REGISTERED NURSING
531242 01 CA BOARD OF REGISTERED NURSING
institution
Provider Business Practice Location Address Details
Address
607 Donna Way
City
State
Zip
92583-5517
Phone Number
951-654-0803
Fax Number
951-654-3917
person
Provider Business Mailing Address Details
Address
607 Donna Way
City
State
Zip
92583-5517
Phone Number
951-654-0803
Fax Number
951-654-3917
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
95013490 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
531242 (California)
Definition
Definition to come...
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