MEDICARE: KAREN ANN FRINZI RNFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WR0006X	Registered Nurse First Assistant	449612	CA

General Provider Information

NPI Number	:	1174769681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ANN FRINZI RNFA

Provider Business Mailing Address
First Line	:	1412 NOTTINGHAM RD
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-4840
Country	:	US
Telephone Number	:	949-764-9315
Fax Number	:	949-650-1078

Provider Business Practice Location Address
First Line	:	1412 NOTTINGHAM RD
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-4840
Country	:	US
Telephone Number	:	949-764-9315
Fax Number	:	949-650-1078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2009
Last Update Date	:	01/05/2009

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