Provider Demographics
NPI:1841615895
Name:ALMOJERA- DE LEUS, ANALINE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ANALINE
Middle Name:
Last Name:ALMOJERA- DE LEUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ANALINE
Other - Middle Name:ALMOJERA
Other - Last Name:PALMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:532 N HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5007
Mailing Address - Country:US
Mailing Address - Phone:714-588-6240
Mailing Address - Fax:
Practice Address - Street 1:12444 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1005
Practice Address - Country:US
Practice Address - Phone:562-698-0161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA723599363LF0000X
CA95000453363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily