MS. MARA IACONI, ANP-C
Nurse Practitioner
Active
Individual
NPI: 1528333481
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 21667 (CA) |
| Registered Nurse | 163W00000X | No | 807299 (CA) |
| Nurse Practitioner - Adult Health | 363LA2200X | No | 21667 (CA) |
Frequently Asked Questions
NPI 1528333481 is the National Provider Identifier for MS. MARA IACONI, ANP-C, a Nurse Practitioner provider located in Santa Rosa, CA. This NPI was enumerated on March 12, 2012.
MS. MARA IACONI, ANP-C practices at 3841 BRICKWAY BLVD, SANTA ROSA VA, Santa Rosa, CA 95403.
Quick Facts
- NPI
- 1528333481
- Type
- Individual
- Enumerated
- Mar 12, 2012
- Last Updated
- Apr 20, 2016
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