Healthcare Provider Details

I. General information

NPI: 1942353107
Provider Name (Legal Business Name): HENRIETTE EVA MARIE HVINGELBY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 HUTTON CENTRE DR STE 950
SANTA ANA CA
92707-8714
US

IV. Provider business mailing address

1800 N OAK ST #1604
ARLINGTON VA
22209-2600
US

V. Phone/Fax

Practice location:
  • Phone: 855-434-7763
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN1009421
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number14531
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: