Individual
FADELA AMINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17872 GILLETTE AVE STE 240, IRVINE, CA 92614-6573
(949) 529-2041
Mailing address
12612 CHALLENGER PKWY STE 365, ORLANDO, FL 32826-2784
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95028129
CA
363LF0000X
Family Nurse Practitioner
75661
ID
363LF0000X
Family Nurse Practitioner
APRN11020947
FL
Other
Enumeration date
05/25/2022
Last updated
11/23/2023
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