MEDICARE: MARIBEL MARIN SAENZ NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP95011487	CA

General Provider Information

NPI Number	:	1992341762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIBEL MARIN SAENZ NP

Provider Business Mailing Address
First Line	:	9405 GOLD COAST DR UNIT A1
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-3953
Country	:	US
Telephone Number	:	650-622-6123
Fax Number	:

Provider Business Practice Location Address
First Line	:	9405 GOLD COAST DR UNIT A1
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-3953
Country	:	US
Telephone Number	:	650-622-6123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2019
Last Update Date	:	11/06/2025

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