Marien L Lake is a Nurse Practitioner in Fontana, California. Marien L Lake practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Marien L Lake is 1881761641. The last update date is 2008-09-23.
Marien L Lake's current location address is 9961 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094273910. The mailing address for Marien L Lake is 9961 Sierra Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marien L Lake |
|---|---|
| Address | 9961 Sierra Ave, Fontana, California |
| Phone Number | 9094273910 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1881761641 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2008-09-23 |
Provider Mailing Address Detail
| Address | 9961 Sierra Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923356720 |
| Phone Number | 9094273910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP8915 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Marien L Lake by the Centers for Medicare & Medicaid Services?
The Marien L Lake has been issued the NPI (National Provider Identifier) 1881761641 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Marien L Lake is physically located?
The Marien L Lake is situated at the following address: 9961 Sierra Ave, Fontana, CA 923356720.
What is the area of specialization for Marien L Lake, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marien L Lake is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
When did Marien L Lake receive its 1881761641 assignment?
The Marien L Lake was assigned its 1881761641 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Marien L Lake most recently updated or revised?
The details related to Marien L Lake, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-23.
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