Maryjane Awatin, FNP
Registered Nurse, General Practice in Newport Beach, CA. Individual provider (NPI-1).
NPI number1295200046
StatusActive
Last updated in NPPESOct 31, 2024
Details
- NPI
- 1295200046
- Entity type
- Individual (NPI-1)
- Name
- Maryjane Awatin
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2018
- Certification date
- Oct 31, 2024
- Last updated
- Oct 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | NP95010131 | CA | Yes |
Practice location
4695 Macarthur Ct # 1112aNewport Beach, CA 92660-1882
Phone 084-446-9226
Mailing address
1168 Sandpiper DrBeaumont, CA 92223-2055
Phone 714-319-5800
Other practice locations
264 N Highland Springs Ave Ste 2a
Banning, CA 92220-3078
Banning, CA 92220-3078
Phone 951-845-8589
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