Healthcare Provider Details

I. General information

NPI: 1316331663
Provider Name (Legal Business Name): RHEA APIN MARANA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 04/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 CIVIC CENTERPLAZA
SANTA ANA CA
92701-3878
US

IV. Provider business mailing address

62 CIVIC CENTER PLAZA
SANTA ANA CA
92701-3878
US

V. Phone/Fax

Practice location:
  • Phone: 714-245-8155
  • Fax:
Mailing address:
  • Phone: 714-245-8155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95002263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: