Individual
MARYJANE AWATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4695 MACARTHUR CT # 1112A, NEWPORT BEACH, CA 92660-1882
(084) 446-9226
Mailing address
1168 SANDPIPER DR, BEAUMONT, CA 92223-2055
(714) 319-5800
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
NP95010131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95010131
FNP
CA
Enumeration date
10/09/2018
Last updated
10/31/2024
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