Individual
KHATERE NADERI-ASHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
113 WATERWORKS WAY STE 155, IRVINE, CA 92618-3163
(949) 612-9090
(949) 612-9091
Mailing address
113 WATERWORKS WAY STE 155, IRVINE, CA 92618-3163
(949) 612-9090
(949) 612-9091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95022144
CA
Other
Enumeration date
12/12/2022
Last updated
02/01/2024
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