Tiscareno, Mia

Tiscareno, Mia is an individual health care provider with primary practice located at 3569 Round Barn Cir , Santa Rosa CA 95403-5781. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tiscareno, Mia can be contacted via phone (707) 303-3600.

Contact Information

Primary practice address
3569 Round Barn Cir Santa Rosa CA 95403-5781
Phone: (707) 303-3600
Fax: (707) 303-3611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95000973 California

Profile Details

NPI number 1316354350
LBN Legal business name Tiscareno, Mia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2014
Last updated Jul 12th, 2023 - about 3 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.

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