Carboni, Mayra
Carboni, Mayra is an sole proprietor health care provider with primary practice located at 1415 Ross Ave , El Centro CA 92243-4306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Carboni, Mayra can be contacted via phone (760) 339-7254.Contact Information
Primary practice address
1415 Ross Ave
El Centro CA 92243-4306
Phone: (760) 339-7254
Fax: (760) 339-4514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95002659 | California |
Profile Details
| NPI number | 1508240862 |
|---|---|
| LBN Legal business name | Carboni, Mayra |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2015 |
| Last updated | Feb 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508240862 | NPPES |
| California | Other | NPF95002659 | NP |
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