Doctor Name: | MARGARET CARRIZOSA |
NPI Number: | 1003068289 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 18062 |
Business Practice Address: | 41990 Cook St Ste F1007 Palm Desert, CA - 922116105 |
Business Phone Number: | 7605656969 |
Business Fax Number: | 7605656966 |
Mailing Address: | 41990 Cook St Ste F1007, PALM DESERT |
State: | CA |
Postal Code: | 922116105 |
Phone Number: | 7605656969 |
Fax Number: | 7605656966 |
NPI Enumeration Date: | 10/19/2008 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 18062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |