Search › California › 363L00000X
Mara Iaconi, ANP-C
NPI 1528333481 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3841 Brickway Blvd
Santa Rosa Va
Santa Rosa, CA 95403 - Phone
- (415) 314-6442
- Organisation at this address
- San Francisco Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 41
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
363LA2200X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California