Awatin, Maryjane

Awatin, Maryjane is an individual health care provider with primary practice located at 264 N Highland Springs Ave Ste 2A , Banning CA 92220-3078. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Awatin, Maryjane can be contacted via phone (951) 845-8589.

Contact Information

Primary practice address
264 N Highland Springs Ave Ste 2A Banning CA 92220-3078
Phone: (951) 845-8589
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X NP95010131 California

Profile Details

NPI number 1295200046
LBN Legal business name Awatin, Maryjane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2018
Last updated Oct 9th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295200046 NPPES
California Other NP95010131 FNP

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