Provider Demographics
NPI:1629762471
Name:ANINION, MERIAM (NP)
Entity Type:Individual
Prefix:
First Name:MERIAM
Middle Name:
Last Name:ANINION
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7677 E BRIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-1413
Mailing Address - Country:US
Mailing Address - Phone:661-805-8040
Mailing Address - Fax:
Practice Address - Street 1:7677 E BRIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-1413
Practice Address - Country:US
Practice Address - Phone:661-805-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95206108251J00000X
CA95026329363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No251J00000XAgenciesNursing Care