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NPI Code Detail

MEDICARE: DR. MUSIC VERNOLA DNP

MEDICARE: DR. MUSIC VERNOLA DNP
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
1363LF0000XFamily Nurse Practitioner95012626CA

General Provider Information

NPI Number : 1053954610
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUSIC VERNOLA DNP
Provider Business Mailing Address
First Line : 1751 E GARRY AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1751 E GARRY AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5814
Country : US
Telephone Number : 877-896-7350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2019
Last Update Date : 10/25/2019

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