Individual
ANNE THERESE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, RN, C, FNP
Contact information
Practice address
1060 20TH ST APT 17, SANTA MONICA, CA 90403-4513
(310) 828-0781
(310) 453-1383
Mailing address
1060 20TH ST APT 17, SANTA MONICA, CA 90403-4513
(310) 828-0781
(310) 453-1383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353720
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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