Individual
MR. ANTHONY DELOVINO LISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP, FNP-BC
Contact information
Practice address
8627 ATLANTIC AVE, SOUTH GATE, CA 90280-3501
(888) 499-9303
Mailing address
1325 N ANAHEIM BLVD, ANAHEIM, CA 92801-1202
(888) 499-9303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1015265
TX
363LF0000X
Family Nurse Practitioner
Primary
95019937
CA
Other
Enumeration date
10/02/2020
Last updated
04/10/2024
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