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NPI Code Detail

MEDICARE: SHIRLEY ANTOINETTE REMMERS-MESMAN NP

MEDICARE:   SHIRLEY ANTOINETTE REMMERS-MESMAN  NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95028444CA

General Provider Information

NPI Number : 1629839295
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY ANTOINETTE REMMERS-MESMAN NP
Provider Business Mailing Address
First Line : 12571 SCANDIA ST
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92845-2946
Country : US
Telephone Number : 714-658-9396
Fax Number :
Provider Business Practice Location Address
First Line : 12571 SCANDIA ST
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92845-2946
Country : US
Telephone Number : 714-658-9396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2024
Last Update Date : 01/19/2024

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Directions to “ SHIRLEY ANTOINETTE REMMERS-MESMAN NP” Practice Location

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