MEDICARE: DENISE MICHELLE AARON RN

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	163W00000X	Registered Nurse	75076941	CA

General Provider Information

NPI Number	:	1497345268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE MICHELLE AARON RN

Provider Business Mailing Address
First Line	:	9959 RIO SAN DIEGO DR APT 94
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-5619
Country	:	US
Telephone Number	:	714-675-4295
Fax Number	:

Provider Business Practice Location Address
First Line	:	9959 RIO SAN DIEGO DR APT 94
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-5619
Country	:	US
Telephone Number	:	714-675-4295
Fax Number	:

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

Provider Enumeration Date	:	01/25/2021
Last Update Date	:	01/25/2021

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