MS. Mary Madrigal Sandoval, RN, PHN, FNP
MS. Mary Madrigal Sandoval, RN, PHN, FNP is a Nurse Practitioner in San Jacinto, California. Qualified in 2019, 7 years ago. Practices with Riverside-San Bernardino County Indian Health Inc, a 45-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 7
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
607 Donna WaySan Jacinto, CA 92583-5517
Phone: (951) 654-0803
Fax: (951) 654-3917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 95013490 (CA) |
|---|---|
| Community Health Registered Nurse | Taxonomy 163WC1500X · Licence 531242 (CA) |
Record details
| NPI number | 1760829543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RN , PHN , FNP |
| Sole proprietor | No |
| NPI enumerated | June 3, 2013 |
| Last updated in NPPES | August 29, 2020 |
| Certification date | August 29, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Riverside-San Bernardino County Indian Health Inc — 45 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |