Provider Demographics
NPI:1356561880
Name:MARY M. NAVE MD INC.
Entity type:Organization
Organization Name:MARY M. NAVE MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-434-3737
Mailing Address - Street 1:262 POSADA LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-4057
Mailing Address - Country:US
Mailing Address - Phone:805-434-3737
Mailing Address - Fax:805-434-1138
Practice Address - Street 1:262 POSADA LN
Practice Address - Street 2:SUITE A
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-4057
Practice Address - Country:US
Practice Address - Phone:805-434-3737
Practice Address - Fax:805-434-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty