Individual
KRISTA PREWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3460 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(949) 932-5133
Mailing address
6670 ALTON PKWY, IRVINE, CA 92618-3734
(949) 932-5133
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
95012088
CA
363LF0000X
Family Nurse Practitioner
95012088
CA
Other
Enumeration date
11/25/2019
Last updated
11/13/2024
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