Iaconi, Mara

Iaconi, Mara is an sole proprietor health care provider with primary practice located at 3841 Brickway Blvd Santa Rosa Va, Santa Rosa CA 95403. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Iaconi, Mara can be contacted via phone (415) 314-6442.

Contact Information

Primary practice address
3841 Brickway Blvd Santa Rosa Va Santa Rosa CA 95403
Phone: (415) 314-6442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 21667 California
Nursing Service Providers / Registered Nurse 163W00000X 807299 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 21667 California

Profile Details

NPI number 1528333481
LBN Legal business name Iaconi, Mara
Credentials ANP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2012
Last updated Apr 20th, 2016 - about 9 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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