Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 95016547 | CA |
N | 363LA2200X | Nurse Practitioner - Adult Health | 95016547 | CA |
N | 363LC1500X | Nurse Practitioner - Community Health | 95016547 | CA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 95016547 | CA |
N | 363LP2300X | Nurse Practitioner - Primary Care | 95016547 | CA |
NPI | 1760073951 |
---|---|
Provider Name | Hanna Shin Zameni |
First Address | Irvine, CA 92618-1375 |
Second Address | Mission Viejo, CA 92691-6408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2021 |
Last Update Date | 29/01/2021 |