Provider Demographics
NPI:1467940841
Name:REAL, MARIA EMILY (RN, PHN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:EMILY
Last Name:REAL
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 SCHILLING PL FL 1
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4527
Mailing Address - Country:US
Mailing Address - Phone:831-755-4705
Mailing Address - Fax:831-796-8655
Practice Address - Street 1:1441 SCHILLING PL FL 1
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4527
Practice Address - Country:US
Practice Address - Phone:831-755-4705
Practice Address - Fax:831-796-8655
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497279163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health