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

Mia Kathleen Mauricio Tabago, FNP

Individual provider Family Nurse Practitioner · NPI 1396326856

Mia Kathleen Mauricio Tabago, FNP is a Family Nurse Practitioner in Alpine, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1832 Alpine Blvd Ste B
Alpine, CA 91901-2107
Phone: (619) 326-4445
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95040457 (CA)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence 95226737 (CA)

Record details

NPI number1396326856
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedApril 16, 2021
Last updated in NPPESJuly 11, 2026
Certification dateJuly 11, 2026

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