Provider Demographics
NPI:1821796244
Name:FIRST ASSISTANT NURSES
Entity Type:Organization
Organization Name:FIRST ASSISTANT NURSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RNFA
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:JANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:949-395-6661
Mailing Address - Street 1:26651 LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3934
Mailing Address - Country:US
Mailing Address - Phone:949-395-6661
Mailing Address - Fax:949-383-4808
Practice Address - Street 1:26651 LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3934
Practice Address - Country:US
Practice Address - Phone:949-395-6661
Practice Address - Fax:949-383-4808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty