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Organization

NIFA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY HARGREAVES (PRESIDENT)
(760) 731-0313
Entity
Organization

Contact information

Practice address
1110 S MAIN AVE, FALLBROOK, CA 92028-3325
(760) 731-0313
(760) 731-0414
Mailing address
PO BOX 2797, FALLBROOK, CA 92088-2797
(760) 731-0313
(760) 731-0414

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
163WR0006X
Registered Nurse First Assistant
246ZC0007X
Surgical Assistant
Primary
246ZS0410X
Surgical Technologist
363AS0400X
Surgical Physician Assistant
363L00000X
Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Enumeration date
02/26/2007
Last updated
01/08/2016
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