MEDICARE: ANNABELLE ESPIRITU NASCIMENTO LVN

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	164X00000X	Licensed Vocational Nurse	212349	CA

General Provider Information

NPI Number	:	1548530769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNABELLE ESPIRITU NASCIMENTO LVN

Provider Business Mailing Address
First Line	:	2236 N SHAFFER ST
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92865-3409
Country	:	US
Telephone Number	:	714-310-7170
Fax Number	:	714-538-8531

Provider Business Practice Location Address
First Line	:	2236 N SHAFFER ST
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92865-3409
Country	:	US
Telephone Number	:	714-310-7170
Fax Number	:	714-538-8531

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

Provider Enumeration Date	:	01/04/2012
Last Update Date	:	01/04/2012

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Directions to “ ANNABELLE ESPIRITU NASCIMENTO LVN” Practice Location

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