person
Missra Rezvani, NP
Adult Health Nurse Practitioner in Orange, California
NPI 1043523707

Missra Rezvani is an Adult Health Nurse Practitioner based in Orange, CA and is specialized in Adult Health. Missra Rezvani practices in Orange, CA and has the professional credentials of NP. The NPI Number for Missra Rezvani is 1043523707 and holds a License No. 19140 (California).

The current practice location address for Missra Rezvani is 1010 W La Veta Ave, Orange, CA and can be reached out via phone at 714-361-6600.

Location: 1010 W La Veta Ave, Orange, CA, 92868-3854
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Provider Profile Details
NPI Number
1043523707
Provider Name
Missra Rezvani
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1010 W La Veta Ave, Orange, CA, 92868-3854
Phone Number
714-361-6600
Fax Number
Provider Enumeration Date
07/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19140 01 CA MEDICAL LICENSE (NP)
670627 01 CA MEDICAL LICENSE (RN)
institution
Provider Business Practice Location Address Details
Address
1010 W La Veta Ave
City
State
Zip
92868-4300
Phone Number
714-361-6600
Fax Number
person
Provider Business Mailing Address Details
Address
1010 W La Veta Ave
City
State
Zip
92868-4300
Phone Number
714-361-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
19140 (California)
Definition
Definition to come...
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