Individual provider · NPI-1

Christiana Chima Anisi, NURSE PRACTITIONER

Nurse Practitioner · Pomona, CA

NPI number1215214325
StatusActive
Last updated in NPPESNov 3, 2011

Details

NPI
1215214325
Entity type
Individual (NPI-1)
Name
Mrs. Christiana Chima Anisi
Credential
NURSE PRACTITIONER
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 3, 2011
Last updated
Nov 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner20398CAYes

Practice location

2112 S. Garey Ave
Suite C
Pomona, CA 91766-5600

Phone 909-464-0520 · Fax 909-464-0523

Mailing address

14297 Anacapa Ct
Fontana, CA 92336-3786

Phone 909-829-0802 · Fax 909-464-0523

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