Individual
NINA PUNG PIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 S MANCHESTER AVE STE 600, ORANGE, CA 92868-3222
(714) 456-5503
Mailing address
200 S MANCHESTER AVE STE 600, ORANGE, CA 92868-3222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
745159
CA
363LF0000X
Family Nurse Practitioner
23612
CA
363LP0200X
Pediatric Nurse Practitioner
23612
CA
363LP2300X
Primary Care Nurse Practitioner
23612
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
23612
CA
Other
Enumeration date
11/08/2013
Last updated
02/25/2022
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