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NPI Code Detail

MEDICARE: AUNALEE MICHAEL MEANS

MEDICARE: AUNALEE MICHAEL MEANS
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
1363LP2300XPrimary Care Nurse Practitioner95017936CA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1902333057
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUNALEE MICHAEL MEANS
Provider Business Mailing Address
First Line : 2352 CANEHILL AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-2213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3835 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-5303
Country : US
Telephone Number : 949-910-0346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2017
Last Update Date : 08/08/2022

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Directions to “ AUNALEE MICHAEL MEANS ” Practice Location

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