MEDICARE: MARGARET CARRIZOSA 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	18062	CA

General Provider Information

NPI Number	:	1003068289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET CARRIZOSA NP

Provider Business Mailing Address
First Line	:	41990 COOK ST STE F1007
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6105
Country	:	US
Telephone Number	:	760-565-6969
Fax Number	:	760-565-6966

Provider Business Practice Location Address
First Line	:	41990 COOK ST STE F1007
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6105
Country	:	US
Telephone Number	:	760-565-6969
Fax Number	:	760-565-6966

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

Provider Enumeration Date	:	10/19/2008
Last Update Date	:	10/10/2013

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