Carboni, Mayra

Carboni, Mayra is an sole proprietor health care provider with primary practice located at 1415 Ross Ave , El Centro CA 92243-4306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Carboni, Mayra can be contacted via phone (760) 339-7254.

Contact Information

Primary practice address
1415 Ross Ave El Centro CA 92243-4306
Phone: (760) 339-7254
Fax: (760) 339-4514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95002659 California

Profile Details

NPI number 1508240862
LBN Legal business name Carboni, Mayra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2015
Last updated Feb 12th, 2016 - about 8 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 1508240862 NPPES
California Other NPF95002659 NP

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