Provider Demographics
NPI:1558518068
Name:TAKASHIMA, ANNETTE YUKIKO (RN PNP)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:YUKIKO
Last Name:TAKASHIMA
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Gender:F
Credentials:RN PNP
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Mailing Address - Street 1:1430 SAN JULIAN ST
Mailing Address - Street 2:NURSING SERVICES, BUILDING 2
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3142
Mailing Address - Country:US
Mailing Address - Phone:213-765-2800
Mailing Address - Fax:213-765-3861
Practice Address - Street 1:1430 SAN JULIAN ST
Practice Address - Street 2:NURSING SERVICES, BUILDING 2
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3142
Practice Address - Country:US
Practice Address - Phone:213-765-2800
Practice Address - Fax:213-765-3861
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
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Provider Licenses
StateLicense IDTaxonomies
CA257358363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool