MRS. MICAELA MARIN-TUCKER PA-C NPI 1922239953

NPI Information

NPI: 1922239953
Provider Name: MRS. MICAELA MARIN-TUCKER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
12677 HESPERIA RD
SUITE 160
VICTORVILLE, CA
ZIP 92395
Phone: (760) 955-5656
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MRS. Micaela Marin-tucker, PA-C is a medical physician assistant in Victorville, CA. MRS. Micaela Marin-tucker, PA-C NPI is 1922239953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12677 HESPERIA RD
SUITE 160
VICTORVILLE, CA
ZIP 92395-735
Phone: (760) 955-5656
Fax: (760) 955-6176

The enumeration date for this NPI number is 8/7/2009 and was last updated on 8/7/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA15871	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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