Annette A Azcarate
Nurse Practitioner in Carson, CA. Individual provider (NPI-1).
NPI number1326643750
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1326643750
- Entity type
- Individual (NPI-1)
- Name
- Annette A Azcarate
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2020
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP95015998 | CA | Yes |
Practice location
17525 Orangetree DrCarson, CA 90746-7471
Phone 310-251-0852
Mailing address
17525 Orangetree DrCarson, CA 90746-7471
Phone 310-251-0852
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