Nazareno, Mark Rainier

Nazareno, Mark Rainier is an sole proprietor health care provider with primary practice located at 1220 Valencia Dr , Tracy CA 95377-8972. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Nazareno, Mark Rainier can be contacted via phone (562) 283-9267.

Contact Information

Primary practice address
1220 Valencia Dr Tracy CA 95377-8972
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95019231 California

Profile Details

NPI number 1114688769
LBN Legal business name Nazareno, Mark Rainier
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2022
Last updated Jan 5th, 2022 - about 2 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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