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

MS. Mara Iaconi, ANP-C

Individual provider Nurse Practitioner · NPI 1528333481

MS. Mara Iaconi, ANP-C is a Nurse Practitioner in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
3

Practice location Address checks out

3841 Brickway Blvd Santa Rosa VA
Santa Rosa, CA 95403
Phone: (415) 314-6442
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 21667 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 807299 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 21667 (CA)

Record details

NPI number1528333481
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-C
Sole proprietorYes
NPI enumeratedMarch 12, 2012
Last updated in NPPESApril 20, 2016

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