Organization · Type 2 NPI
City of Anaheim
Nurse Practitioner · Anaheim, CA
Practice location
500 E Broadway
Anaheim, CA 92805-4005
Mailing address
201 S Anaheim Blvd Ste 300
Anaheim, CA 92805-3858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
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…
Other nurse practitioner providers in Anaheim
About NPI 1104786326
City of Anaheim's National Provider Identifier is 1104786326, issued on Nov 12, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Anaheim, CA. The record was last updated on Nov 12, 2025.