Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | NP95000326 | CA |
NPI | 1023313392 |
---|---|
Provider Name | Maureen Elizabeth Mcmenamy |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2011 |
Last Update Date | 16/04/2020 |