Individual provider · Type 1 NPI

Anita Minicucci, RNP

Nurse Practitioner · Glendale, CA

NPI number 1235257551 Active

Practice location

1420 S Central Ave
Glendale, CA 91204-2508

Fax (818) 502-4568

Mailing address

31542 Calle Los Padres
Temecula, CA 92592-5816

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X202949 (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 1235257551

Anita Minicucci, RNP's National Provider Identifier is 1235257551, issued on Mar 26, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glendale, CA. The record was last updated on Jul 8, 2007.