Individual
ANJANA D DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-BC
Contact information
Practice address
9449 GOODWICK CT, SAN DIEGO, CA 92123-3604
(858) 864-2245
Mailing address
9449 GOODWICK CT, SAN DIEGO, CA 92123-3604
(858) 864-2245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010306
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2109720
HIGHMARK BLUE SHIELD
PA
01
—
953182
CAREFIRST MD BCBS
MD
Enumeration date
05/11/2009
Last updated
03/26/2017
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