Provider Demographics
NPI:1861025694
Name:NAJERA, ANA TERESA (RN FNP)
Entity Type:Individual
Prefix:
First Name:ANA TERESA
Middle Name:
Last Name:NAJERA
Suffix:
Gender:F
Credentials:RN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1256 BROADWAY AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-2317
Mailing Address - Country:US
Mailing Address - Phone:760-352-5712
Mailing Address - Fax:760-337-5159
Practice Address - Street 1:1256 BROADWAY AVE STE 10
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2317
Practice Address - Country:US
Practice Address - Phone:760-352-5712
Practice Address - Fax:760-337-5159
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15613363LF0000X
CA517862163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily