Individual
MARYAM FATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MSN, RN, NP-C
Contact information
Practice address
24451 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3689
(949) 424-9730
(949) 452-7599
Mailing address
24451 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3689
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
21935
CA
363LP2300X
Primary Care Nurse Practitioner
4704259944
MI
Other
Enumeration date
11/24/2009
Last updated
05/20/2015
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