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Pediatric Subspecialty Faculty
Pediatric Nurse Practitioner in Orange, California
NPI 1952614398

Pediatric Subspecialty Faculty is a Pediatric Nurse Practitioner based in Orange, CA and is specialized in Pediatrics. Pediatric Subspecialty Faculty practices in Orange, CA. The NPI Number for Pediatric Subspecialty Faculty is 1952614398 and holds a License No. (California).

The current practice location address for Pediatric Subspecialty Faculty is 455 S Main St, Orange, CA and can be reached out via phone at 714-532-8649.

Location: 455 S Main St, Orange, CA, 92868-3835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952614398
Provider Name
Pediatric Subspecialty Faculty
Credential
Provider Entity Type
Organization
Address
455 S Main St, Orange, CA, 92868-3835
Phone Number
714-532-8649
Fax Number
Provider Enumeration Date
07/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
455 S Main St
City
Orange
State
California
Zip
92868-3835
Phone Number
714-532-8649
Fax Number
person
Provider Business Mailing Address Details
Address
455 S Main St
City
Orange
State
California
Zip
92868-3835
Phone Number
714-532-8649
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
()
Definition
Definition to come...
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