Individual provider · Type 1 NPI

Enneman Irene Tad-Awan, NP

Nurse Practitioner · San Diego, CA

NPI number 1023816501 Active

Practice location

1173 Front St
San Diego, CA 92101-3904

Mailing address

683 Ash Ave
Chula Vista, CA 91910-5338

Other practice locations

  • 451 Riverview Pkwy, Santee, CA 92071-5829 · (619) 258-3200

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95029080 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023816501

Enneman Irene Tad-Awan, NP's National Provider Identifier is 1023816501, issued on Mar 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Mar 3, 2025.