Provider Demographics
NPI:1437928736
Name:GADOR, MARICAR (AGNP-C)
Entity Type:Individual
Prefix:
First Name:MARICAR
Middle Name:
Last Name:GADOR
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:MARICAR
Other - Middle Name:
Other - Last Name:CAPARAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN RN
Mailing Address - Street 1:11152 ACCRA LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-2661
Mailing Address - Country:US
Mailing Address - Phone:185-860-3420
Mailing Address - Fax:
Practice Address - Street 1:11152 ACCRA LN
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-2661
Practice Address - Country:US
Practice Address - Phone:858-603-4208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAG12230028363LA2200X, 363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology