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

Miriam Avena-Mascareno, FNP-C

Individual provider Family Nurse Practitioner · NPI 1629797246

Miriam Avena-Mascareno, FNP-C is a Family Nurse Practitioner in Petaluma, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone: (707) 559-7500
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 95021379 (CA)

Record details

NPI number1629797246
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 25, 2022
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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