Mark Denniel Macabuag Javier
Mark Denniel Macabuag Javier is a Nurse Practitioner in Poway, California. Qualified in 2021, 5 years ago. Practices with Innovative Wound Solutions Inc, a 26-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 5
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
14220 Woodcreek RdPoway, CA 92064-3350
Phone: (858) 335-0379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 95020784 (CA) |
|---|---|
| Wound Care Registered Nurse | Taxonomy 163WW0000X · Licence 729618 (CA) |
Record details
| NPI number | 1134804206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2023 |
| Last updated in NPPES | June 16, 2023 |
| Certification date | June 16, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Innovative Wound Solutions Inc — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |