Dizon, Mae Lavente
Dizon, Mae Lavente is an individual health care provider with primary practice located at 211 Quarry Rd Ste 402 , Palo Alto CA 94304-1416. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dizon, Mae Lavente can be contacted via phone (650) 724-1800.Contact Information
Primary practice address
211 Quarry Rd Ste 402
Palo Alto CA 94304-1416
Phone: (650) 724-1800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 801148 | California |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 21280 | California |
Profile Details
NPI number | 1811207723 |
---|---|
LBN Legal business name | Dizon, Mae Lavente |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2010 |
Last updated | Mar 30th, 2020 - about 4 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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