Healthcare Provider Details

I. General information

NPI: 1144973249
Provider Name (Legal Business Name): IHOVANA AGUIRRE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S GREEN VALLEY RD
WATSONVILLE CA
95076-3053
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 831-458-5865
  • Fax:
Mailing address:
  • Phone: 831-809-7203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95019873
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: