Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mara Vande Pol

Individual provider Registered Nurse · NPI 1972423291

Mara Vande Pol is a Registered Nurse in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1441 Florida Ave
Modesto, CA 95350-4418
Phone: (209) 578-1211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 800675 (CA)

Record details

NPI number1972423291
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 17, 2026
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address917 6th St, Ripon, CA 95366-2501

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