Provider Demographics
NPI:1942062229
Name:ALBANIA, KATRINA MAE (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:MAE
Last Name:ALBANIA
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 EUCLID AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-6038
Mailing Address - Country:US
Mailing Address - Phone:818-987-7818
Mailing Address - Fax:
Practice Address - Street 1:15644 POMERADO RD STE 100
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2419
Practice Address - Country:US
Practice Address - Phone:858-485-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025806363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily