Provider Demographics
NPI:1578728127
Name:KINIRY, MARY EILEEN JULIA (RN, MSN, ANP)
Entity Type:Individual
Prefix:MS
First Name:MARY EILEEN
Middle Name:JULIA
Last Name:KINIRY
Suffix:
Gender:F
Credentials:RN, MSN, ANP
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Mailing Address - Street 1:13590 PASEO TERRANO
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-9429
Mailing Address - Country:US
Mailing Address - Phone:831-484-1103
Mailing Address - Fax:831-484-1103
Practice Address - Street 1:13590 PASEO TERRANO
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93908-9429
Practice Address - Country:US
Practice Address - Phone:831-484-1103
Practice Address - Fax:831-484-1103
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA195975363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health