Etchepare, Maria
Etchepare, Maria is an individual health care provider with primary practice located at 2900 N Sepulveda Blvd Ste 200 , Manhattan Beach CA 90266-2788. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Etchepare, Maria can be contacted via phone (310) 546-3481.Contact Information
Primary practice address
2900 N Sepulveda Blvd Ste 200
Manhattan Beach CA 90266-2788
Phone: (310) 546-3481
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP19407 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP19407 | California |
Profile Details
NPI number | 1457648446 |
---|---|
LBN Legal business name | Etchepare, Maria |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2011 |
Last updated | Apr 28th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457648446 | NPPES |
California | MEDICAID | 1164487518 | |
California | MEDICAID | RN374732 |
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