Individual provider · Type 1 NPI

Catherine Ennis-Dolendo, NP

Nurse Practitioner · Orange, CA

NPI number 1184930380 Active

Practice location

700 S Tustin St
Orange, CA 92866-3425

Mailing address

51 Gingham St
Trabuco Canyon, CA 92679-5320

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X6413 (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 1184930380

Catherine Ennis-Dolendo, NP's National Provider Identifier is 1184930380, issued on Aug 25, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange, CA. The record was last updated on Aug 25, 2010.