Provider Demographics
NPI:1265733315
Name:ISERI, PATRICIA FRANCES (PNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:FRANCES
Last Name:ISERI
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 S ANAHEIM HILLS RD
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4241
Mailing Address - Country:US
Mailing Address - Phone:714-282-5437
Mailing Address - Fax:714-974-9867
Practice Address - Street 1:478 S ANAHEIM HILLS RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4241
Practice Address - Country:US
Practice Address - Phone:714-282-5437
Practice Address - Fax:714-974-9867
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA274297363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics