Individual
MRS. JACINDA ANN MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4725 GRACE STREET, APT. 1, CAPITOLA, CA 95010
(720) 220-2124
Mailing address
4725 GRACE STREET, APT. 1, CAPITOLA, CA 95010
(303) 275-7582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95021915
CA
163WC1500X
Community Health Registered Nurse
195879
CO
163WH0500X
Hemodialysis Registered Nurse
95021915
CA
Other
Enumeration date
11/16/2011
Last updated
03/18/2015
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