MR. MARK RAINIER NAZARENO FNP
NPI 1114688769
Nurse Practitioner - Family in Tracy, CA

Active since January 05, 2022
1220 VALENCIA DR, TRACY, CA 95377(562) 283-9267 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Nurse Practitioner
  • Family

About MARK RAINIER NAZARENO

This page provides the complete NPI Profile along with additional information for Mark Rainier Nazareno, a provider established in Tracy, California with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1114688769 assigned on January 2022. The practitioner's primary taxonomy code is 363LF0000X with license number 95019231 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1114688769 Verify this NPI
Provider Name
MR. MARK RAINIER NAZARENO FNP
Other Name
MR. MARK NAZARENO FNP
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
1220 VALENCIA DR TRACY, CA 95377
Location Phone
(562) 283-9267
Mailing Address
1220 VALENCIA DR TRACY, CA 95377
Mailing Phone
(562) 283-9267
Is Sole Proprietor?
Yes
Enumeration Date
01-05-2022
Last Update Date
01-05-2022
Code Navigator

A nurse practitioner (NP) like Mark Rainier Nazareno is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95019231
License State
CA

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114688769, enumerated as an "individual" on January 05, 2022.

The provider is located at 1220 VALENCIA DR TRACY, CA 95377 and the phone number is (562) 283-9267.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.