MS. MARA IACONI ANP-C NPI 1528333481

NPI Information

  • NPI: 1528333481
  • Provider Name: MS. MARA IACONI, ANP-C
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 3841 BRICKWAY BLVD
    SANTA ROSA VA
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (415) 314-6442

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NPI Details

MS. Mara Iaconi, ANP-C is a nurse practitioner in Santa Rosa, CA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MS. Mara Iaconi, ANP-C NPI is 1528333481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3841 BRICKWAY BLVD
SANTA ROSA VA
SANTA ROSA, CA
ZIP 95403
Phone: (415) 314-6442

The enumeration date for this NPI number is 3/12/2012 and was last updated on 4/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health21667CALIFORNIANo
2163W00000XRegistered Nurse807299CALIFORNIANo
3363L00000XNurse Practitioner21667CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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