Michael Comerford
Individual provider Active NPI Nurse Practitioner · Mariposa, CA
NPI 1760600795 · NPPES record last updated Apr 1, 2009
Key facts
- NPI
- 1760600795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 14149 (CA)
- Practice address
- 3125 Wild Dove LN
Mariposa, CA 95338-9037 - Phone
- (209) 966-3737
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295752 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 14149 | CA | Yes |
| Registered Nurse | 163W00000X | 295752 | CA |
Addresses
Primary practice location
3125 Wild Dove LN
Mariposa, CA 95338-9037
Mailing address
3125 Wild Dove LN
Mariposa, CA 95338-9037
Phone (209) 966-3737
Other names
- Mr. Michael Kevin Comerford
Other providers in Mariposa, CA
- Christina Noel Christianson
- Chukwuocha MD Inc
- Iris M Chynoweth
- Ginger Clark
- Denise Marie Collins
- Community Health Centers of America
- Rhonda J Cook
- Cornerstone Family Counseling Services
- Counseling Services of Mariposa
- County of Mariposa
All providers in Mariposa, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.