Provider Demographics
NPI:1609180371
Name:ALMEIDA, IRENE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:
Last Name:ALMEIDA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:ALMEIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2101 E 21ST ST UNIT 318
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-5975
Mailing Address - Country:US
Mailing Address - Phone:562-498-6731
Mailing Address - Fax:
Practice Address - Street 1:2101 E 21ST ST UNIT 318
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-5975
Practice Address - Country:US
Practice Address - Phone:562-498-6731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7725363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily