Healthcare Provider Details

I. General information

NPI: 1508359548
Provider Name (Legal Business Name): ANNA CHOI MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10775 PIONEER TRL STE 215
TRUCKEE CA
96161-0234
US

IV. Provider business mailing address

8300 ESTERS BLVD STE 900
IRVING TX
75063-2233
US

V. Phone/Fax

Practice location:
  • Phone: 415-424-4266
  • Fax: 415-520-6633
Mailing address:
  • Phone: 415-424-4266
  • Fax: 415-520-6633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024186569
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95026839
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberAPRN11028939
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1114307
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN234019
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: