Doctor Name: | MRS. JACINDA ANN MAURER |
NPI Number: | 1104103399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 195879 |
Business Practice Address: | 4725 Grace Street Apt. 1 Capitola, CA - 95010 |
Business Phone Number: | 7202202124 |
Business Fax Number: | |
Mailing Address: | 4725 Grace Street, Apt. 1 CAPITOLA |
State: | CA |
Postal Code: | 95010 |
Phone Number: | 3032757582 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 195879 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |