Mireya Canchola, FNP
Nurse Practitioner, Family in El Centro, CA. Individual provider (NPI-1).
NPI number1972104602
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1972104602
- Entity type
- Individual (NPI-1)
- Name
- Mireya Canchola
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NP95014984 | CA | Yes |
Practice location
1415 Ross Ave.Sunflower Ct.
El Centro, CA 92243-9224
Phone 760-339-7100
Mailing address
3535 Sunflower CtEl Centro, CA 92243-8425
Phone 760-840-8004
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All 69 Family Nurse Practitioner providers in El Centro · All 2,209 providers in El Centro
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