Individual
ANITA PAULETTE CANAVARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3005 E PALMDALE BLVD, SUITE 4, PALMDALE, CA 93550-1831
(661) 575-0009
Mailing address
PO BOX 350, LAKE HUGHES, CA 93532-0350
(661) 724-1280
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
293534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293534
RN LICENSE
CA
01
—
3680
NP CERTIFICATE
CA
Enumeration date
05/30/2007
Last updated
07/08/2007
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