MS. MARTHA KIM IZVERNARI N.P. NPI 1417176322

NPI Information

NPI: 1417176322
Provider Name: MS. MARTHA KIM IZVERNARI, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1695 S. SAN JACINTO AVE
SUITE L
SAN JACINTO, CA
ZIP 92583
Phone: (951) 654-8132
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MS. Martha Kim Izvernari, N.P. is a family nurse practitioner in San Jacinto, CA. MS. Martha Kim Izvernari, N.P. NPI is 1417176322. 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:

1695 S. SAN JACINTO AVE
SUITE L
SAN JACINTO, CA
ZIP 92583-103
Phone: (951) 654-8132
Fax: (951) 654-8135

The enumeration date for this NPI number is 4/25/2007 and was last updated on 11/15/2010.

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	RN269257	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: 11/14/2023

NPI Synchronization or Removal

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