Provider Demographics
NPI:1881238780
Name:GIRASOL, MARIA NERINA (MSN, RN, AG-CNS)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:NERINA
Last Name:GIRASOL
Suffix:
Gender:F
Credentials:MSN, RN, AG-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:685 S NEW HAMPSHIRE AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-4072
Mailing Address - Country:US
Mailing Address - Phone:213-675-6467
Mailing Address - Fax:
Practice Address - Street 1:28202 CABOT RD
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1222
Practice Address - Country:US
Practice Address - Phone:949-347-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4802364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology