Provider Demographics
NPI:1801663299
Name:HARDING, ADRIANNE SOPHIA (FNP)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:SOPHIA
Last Name:HARDING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15642 SAND CANYON AVE P.O BOX 52573
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92619-9998
Mailing Address - Country:US
Mailing Address - Phone:949-237-2696
Mailing Address - Fax:
Practice Address - Street 1:15642 SAND CANYON AVE # 52573
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92619-9998
Practice Address - Country:US
Practice Address - Phone:949-237-2696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028128363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily