Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARITZA J LIRA, AGNP
Active Sole ProprietorMARITZA J LIRA, AGNP is a Gerontological Nurse Practitioner healthcare provider located in RANCHO PALOS VERDES, California. NPI 1457986168 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · RANCHO PALOS VERDES, CA
Registration Details
- NPI Number
- 1457986168
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2020 (6.4137309747612 yrs)
- Last Updated
- Jun 27, 2024
- License
-
95014079 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28120 PEACOCK RIDGE DR APT 608RANCHO PALOS VERDES, CA, 902753450Browse CA providers · Browse ZIP 90275
- Phone
- 9497352586
- Fax
- 9496497043
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.