Individual provider · Type 1 NPI
Angie Ellaboudy, DNP, CPNP-PC
Pediatric Nurse Practitioner · Foothill Ranch, CA
NPI number
1083342307
Active
Practice location
26700 Towne Centre Dr Ste 150
Foothill Ranch, CA 92610-2845
Mailing address
318 W Weeping Willow Ave
Orange, CA 92865-1089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95020643 (CA) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1083342307
Angie Ellaboudy, DNP, CPNP-PC's National Provider Identifier is 1083342307, issued on Aug 13, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Foothill Ranch, CA. The record was last updated on Aug 13, 2022.