Individual provider · Type 1 NPI

Rosanne Mae Bulatao Tayag, PHN

Community Health Registered Nurse · Santa Ana, CA

NPI number 1659442812 Active

Practice location

1725 W 17th St
Santa Ana, CA 92706-2316

Call (714) 834-8017 Map

Mailing address

5871 E Camino Manzano
Anaheim, CA 92807-3254

Specialties and licenses

Taxonomy	Code	License
Community Health Registered Nurse Primary	163WC1500X	615436 (CA)

Community Health Registered Nurse: Definition to come...

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About NPI 1659442812

Rosanne Mae Bulatao Tayag, PHN's National Provider Identifier is 1659442812, issued on Nov 10, 2006. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Santa Ana, CA. The record was last updated on Jul 8, 2007.