Individual
MS. ANNALISA ELIZABETH SCHALLERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, WHNP-BC
Contact information
Practice address
49-111 CA-111 S, UNIT 6A, COACHELLA, CA 92236
(888) 743-7526
Mailing address
49-111 CA-111 6A, UNIT 6 STE, COACHELLA, CA 92236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN95302471
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
NP95022776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104148185
NATIONAL CERTIFICATION CORPORATION
—
01
—
NP95022776
CA STATE LICENSE - NURSE PRACTITIONER
CA
Enumeration date
10/19/2022
Last updated
12/13/2022
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