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EMANUELA AHEARN NP

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1629577150

Individual Registrant:
 EMANUELA  AHEARN NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1308 S MASTERSON RD  ANAHEIM, CA 92804-4821 US
Tel: 714-588-3053  Fax: --

Contact information for business:
1308 S MASTERSON RD  ANAHEIM, CA 92804-4821 US
Tel: --  Fax: --

Registration Information:
NPI: 1629577150
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
CA95008489

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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