Individual
KRISTY DEAN NENADAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
13692 HEWES AVE, SANTA ANA, CA 92705-2774
(619) 244-0773
Mailing address
13692 HEWES AVE, SANTA ANA, CA 92705-2774
(619) 244-0773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95022572
CA
Other
Enumeration date
09/28/2022
Last updated
03/07/2023
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