Individual
MRS. KRESTA GRABAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18111 BROOKHURST ST STE 4300, FOUNTAIN VALLEY, CA 92708-6728
(714) 378-7650
Mailing address
386 N EARLHAM ST, ORANGE, CA 92869-2906
(619) 549-3989
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
719888
CA
163WG0000X
General Practice Registered Nurse
719888
CA
163WP2201X
Ambulatory Care Registered Nurse
719888
CA
163WX0200X
Oncology Registered Nurse
Primary
719888
CA
Other
Enumeration date
12/10/2024
Last updated
01/08/2025
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