Individual
ANNALISSA LORENA DALAN PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4626 WILLOW RD, PLEASANTON, CA 94588-8517
(925) 463-0470
(844) 830-3541
Mailing address
768 ANTIQUITY DR, FAIRFIELD, CA 94534-6613
(707) 290-0353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95035382
CA
363L00000X
Nurse Practitioner
Primary
NP95035382
CA
Other
Enumeration date
08/12/2025
Last updated
08/14/2026
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