MARSHA SALLY ORTALEZA TANARE FNP-C NPI 1043813280

NPI Information

NPI: 1043813280
Provider Name: MARSHA SALLY ORTALEZA TANARE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3631 CRENSHAW BLVD STE 109
LOS ANGELES, CA
ZIP 90016
Phone: (323) 732-0100
Get Directions

Marsha Sally Ortaleza Tanare, FNP-C is a family nurse practitioner in Los Angeles, CA. Marsha Sally Ortaleza Tanare, FNP-C NPI is 1043813280. 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:

3631 CRENSHAW BLVD STE 109
LOS ANGELES, CA
ZIP 90016-869
Phone: (323) 732-0100

The enumeration date for this NPI number is 11/19/2020 and was last updated on 12/30/2020.

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	363LF0000X	Nurse Practitioner	Family	95016015	CALIFORNIA	Yes
2	163W00000X	Registered Nurse		95160696	CALIFORNIA	No

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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