Russe Ella Munar Laxa, FNP-BC Valid NPI
Individual provider · Family Nurse Practitioner · Vista, CA
- NPI
- 1215456298
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 95005842 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-09-11
- Last updated
- 2017-09-11
Practice location
130 Cedar Rd
Vista, CA 92083-5102
(760) 806-5400