Individual provider · NPI-1

Donna S Amezquita, NP

Nurse Practitioner · Anaheim, CA

NPI number1255402145
StatusActive
Last updated in NPPESDec 15, 2021

Details

NPI
1255402145
Entity type
Individual (NPI-1)
Name
Donna S Amezquita
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2006
Last updated
Dec 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerNP6150CAYes

Practice location

441 N Lakeview Ave
Anaheim, CA 92807-3028

Phone 888-988-2800

Mailing address

441 N Lakeview Ave
Anaheim, CA 92807-3028

Phone 888-988-2800

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