Individual
ANISSA ELLEN SPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2010 E 1ST ST STE 100, SANTA ANA, CA 92705-4086
(714) 556-7246
(714) 556-7247
Mailing address
2010 E 1ST ST STE 100, SANTA ANA, CA 92705-4086
(714) 556-7246
(714) 556-7247
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
95005139
CA
363L00000X
Nurse Practitioner
9500139
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95005139
CA
Other
Enumeration date
11/08/2016
Last updated
10/15/2018
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