Marcella Northern, MSN, RN, FNP, CNOR
Nurse Practitioner, Family in Newport Beach, CA. Individual provider (NPI-1).
NPI number1710690425
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1710690425
- Entity type
- Individual (NPI-1)
- Name
- Marcella Northern
- Credential
- MSN, RN, FNP, CNOR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2022
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95023507 | CA | Yes |
| 163W00000X | Registered Nurse | 95182844 | CA |
Practice location
22 Corporate Plaza DrNewport Beach, CA 92660-7985
Phone 949-722-7038
Mailing address
26742 Moore Oaks RdLaguna Hills, CA 92653-7559
Phone 949-228-0259
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