person
Marvin Buenaventura
Primary Care Nurse Practitioner in Ridgecrest, California
NPI 1790481521

Marvin Buenaventura is a Primary Care Nurse Practitioner based in Ridgecrest, CA and is specialized in Primary Care. Marvin Buenaventura practices in Ridgecrest, CA. The NPI Number for Marvin Buenaventura is 1790481521 and holds a License No. 95023469 (California).

The current practice location address for Marvin Buenaventura is 129 E Ridgecrest Blvd, Ridgecrest, CA and can be reached out via phone at 760-463-1613 and via fax at 760-463-1614.

Location: 129 E Ridgecrest Blvd, Ridgecrest, CA, 93555-3918
person
Provider Profile Details
NPI Number
1790481521
Provider Name
Marvin Buenaventura
Credential
Provider Entity Type
Individual
Gender
Male
Address
129 E Ridgecrest Blvd, Ridgecrest, CA, 93555-3918
Phone Number
760-463-1613
Fax Number
760-463-1614
Provider Enumeration Date
02/02/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95023469 05 CA
institution
Provider Business Practice Location Address Details
Address
129 E Ridgecrest Blvd
City
State
Zip
93555-3918
Phone Number
760-463-1613
Fax Number
760-463-1614
person
Provider Business Mailing Address Details
Address
129 E Ridgecrest Blvd
City
State
Zip
93555-3918
Phone Number
760-463-1613
Fax Number
760-463-1614
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
95023469 (California)
Definition
Definition to come...
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