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Ms. Mayra Marlene Portillo, WHNP-BC
Women's Health Nurse Practitioner in Riverside, California
NPI 1780296384

Mayra Marlene Portillo is a Women's Health Nurse Practitioner based in Riverside, CA and is specialized in Women's Health. Mayra Marlene Portillo practices in Riverside, CA and has the professional credentials of WHNP-BC. The NPI Number for Mayra Marlene Portillo is 1780296384 and holds a License No. 95013841 (California).

The current practice location address for Mayra Marlene Portillo is 3772 Tibbetts St, Riverside, CA and can be reached out via phone at 888-743-7526.

Location: 3772 Tibbetts St, Riverside, CA, 92506-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780296384
Provider Name
Mayra Marlene Portillo
Credential
WHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3772 Tibbetts St, Riverside, CA, 92506-2605
Phone Number
888-743-7526
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3772 Tibbetts St
City
Riverside
State
California
Zip
92506-2605
Phone Number
888-743-7526
Fax Number
person
Provider Business Mailing Address Details
Address
3772 Tibbetts St
City
Riverside
State
California
Zip
92506-2605
Phone Number
888-743-7526
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
95013841 (California)
Definition
Definition to come...
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