Individual provider · Type 1 NPI

Audrey Joan Realeza Cano, FNP-BC

Primary Care Nurse Practitioner · Santa Monica, CA

NPI number 1154987634 Active

Practice location

1223 16th St Ste 3100
Santa Monica, CA 90404-1275

Call (424) 259-8791 Map

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

100 Ucla Medical Plaza Suite 310, Los Angeles, CA 90095-5694 · (424) 259-8791
120 S Spalding Dr Ste 401, Beverly Hills, CA 90212-1842 · (424) 259-8791
1241 E Dyer Rd Ste 145, Santa Ana, CA 92705-5694 · (949) 538-2073

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	NP95010935 (CA)
Adult Health Nurse Practitioner	363LA2200X	NP95010935 (CA)
Family Nurse Practitioner	363LF0000X	NP95010935 (CA)
Primary Care Nurse Practitioner Primary	363LP2300X	NP95010935 (CA)

Primary Care Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1154987634

Audrey Joan Realeza Cano, FNP-BC's National Provider Identifier is 1154987634, issued on May 10, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 30, 2020.