Provider Demographics
NPI:1710376090
Name:TERPENING, TINA LINEA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:LINEA
Last Name:TERPENING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:TINA
Other - Middle Name:LINEA
Other - Last Name:MINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18300 YORBA LINDA BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-4052
Mailing Address - Country:US
Mailing Address - Phone:714-577-6031
Mailing Address - Fax:714-572-2562
Practice Address - Street 1:18300 YORBA LINDA BLVD STE 204
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4052
Practice Address - Country:US
Practice Address - Phone:714-577-6031
Practice Address - Fax:714-572-2562
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA484432363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily