Individual
MARA IFTIMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, WHNP-BC
Contact information
Practice address
740 E ALMOND AVE, MADERA, CA 93637-5617
(559) 664-4000
Mailing address
730 N I ST STE 104, MADERA, CA 93637-3078
(559) 664-4042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785133
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
20683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306114624
1306114624
CA
Enumeration date
12/01/2011
Last updated
07/10/2023
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