MARY J. STATES N.P. NPI 1699748657

NPI Information

Mary J. States, N.P. is an acute care nurse practitioner in La Jolla, CA with 22 years of experience. Mary J. States, N.P. NPI is 1699748657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Graduation Year:2002

The provider's business location address is:

10666 N TORREY PINES RD
LA JOLLA, CA
ZIP 92037-027
Phone: (858) 554-7462

The NPI 1699748657 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 12/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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