Healthcare Provider Details

I. General information

NPI: 1992523500
Provider Name (Legal Business Name): ANNA ABAYA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA MARIA CATALAN-ABAYA RN

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 10/02/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 S AKERS ST
VISALIA CA
93291-5178
US

IV. Provider business mailing address

1046 W WESTMONT CT
VISALIA CA
93277-9241
US

V. Phone/Fax

Practice location:
  • Phone: 559-732-1648
  • Fax:
Mailing address:
  • Phone: 646-266-0805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95028491
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: