Individual provider · Type 1 NPI
Mabel Asamoah Anti Asiedu
Adult Health Nurse Practitioner · Valley Center, CA
NPI number
1104215631
Active
Practice location
13305 Cultivate Ct
Valley Center, CA 92082-6983
Fax (512) 628-3314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95016533 (CA) |
| Adult Health Nurse Practitioner | 363LA2200X | 2015000861 (MO) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1104215631
Mabel Asamoah Anti Asiedu's National Provider Identifier is 1104215631, issued on Jan 21, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Valley Center, CA. The record was last updated on Nov 5, 2025.