MEDICARE: ANA ELVIA AGUILAR QUIROZ FNP

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
1	363LF0000X	Family Nurse Practitioner	95030944	CA

General Provider Information

NPI Number	:	1144067836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA ELVIA AGUILAR QUIROZ FNP

Provider Business Mailing Address
First Line	:	2546 W CAMDEN PL
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-4509
Country	:	US
Telephone Number	:	714-721-1568
Fax Number	:

Provider Business Practice Location Address
First Line	:	2546 W CAMDEN PL
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-4509
Country	:	US
Telephone Number	:	714-721-1568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	03/17/2025

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