MRS. MAIA ENTROPO


Address: 1505 Soquel Dr Ste 9, Santa Cruz, CA 95065-1716
Phone: 8314628960

MRS. MAIA ENTROPO (NPI# 1689013559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689013559
Entity Type Individual
Full Name MRS. MAIA ENTROPO
Credential NURSE PRACTITIONER
Practice Address 1505 Soquel Dr Ste 9
Santa Cruz
CA 95065-1716
Practice Telephone 8314628960
Mailing Telephone (831) 402-4034
Enumeration Date 2013-06-24
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
NP23575 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
708291 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
751 S Bascom Ave, San Jose, CA 951282604 4088856640

Office Location

Street Address 1505 SOQUEL DR STE 9
City SANTA CRUZ
State CA
Zip Code 95065-1716

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1689911398 Gabriela Alejandra Torres De Fernandez Dentist 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 2013-01-15
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083085039 Cindy Vu Nurse Practitioner 700 Frederick St Ste 203, Santa Cruz, CA 95062-2239 2015-10-16
1134523715 Shelly Brunner Nurse Practitioner 1661 Soquel Dr, Building C, Santa Cruz, CA 95065-1709 2014-10-10
1699116202 Kelly B Rumrill Nurse Practitioner 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 2013-07-11
1770873671 Virginia Westra Nurse Practitioner 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2011-04-12
1306957634 Gail Fay Michaelis-ow Nurse Practitioner 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503 2006-08-31

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Competitor

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City SANTA CRUZ
Zip Code 95065

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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