Maretha Tyce NP

NPI 1083008254 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1083008254
Gender Female
Enumeration Date 03/25/2015
Last Updated 04/27/2016
Entity Type Individual
Active Over 2 years ago
Practice Location
5711 29TH ST
RIVERSIDE CA, 92509-2006, US
Phone (951) 452-2854
Fax
Business Location
742 W HIGHLAND AVE
SAN BERNARDINO CA, 92405-3839, US
Phone (909) 881-7320
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State California
License Number 95002142
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According to our database, Maretha Tyce NP NPI is 1083008254, taxonomy code is 363LF0000X and license number is 95002142, license state is located at California. Maretha Tyce NP physically located at 5711 29th St, Riverside CA, 92509-2006. NPI Number Maretha Tyce NP has the Individual type.

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1083008254 NPI number is provided on an as is basis without warranty of any kind. 1083008254 is maintained by the National Plan & Provider Enumeration System. The contents of Maretha Tyce NP are for informational purposes only.