MS. MARILYN MARA R.N.
NPI 1700067428
Registered Nurse - Case Management in San Jose, CA
Active since November 21, 2007
About Ms. Marilyn Mara R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARILYN MARA R.N. (NPI 1700067428) is an individual case management provider in San Jose, California, licensed in California (534426) and active in the NPI registry since November 2007.
NPPES Registry Identity
NPI1700067428
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameMS. MARILYN MARACredential: R.N.
Location Address1989 MCKEE RDSan Jose, CA 95116-1406
Mailing Address1989 Mckee RdSan Jose, CA 95116-1406 · (408) 926-7915 · Fax (408) 259-2308
Phone(408) 926-7915
Fax(408) 259-2308
Sole ProprietorNo
Enumeration DateNovember 21, 2007
✔ NPI 1700067428 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in CA · 534426
1989 MCKEE RD, San Jose, CA 95116
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700067428, enumerated as an "individual" on November 21, 2007.
The provider is located at 1989 MCKEE RD SAN JOSE, CA 95116 and the phone number is (408) 926-7915.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.