Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Advanced Nursing Practice Incorporated

Organization Family Nurse Practitioner · NPI 1548905391

Legacy Advanced Nursing Practice Incorporated is a Family Nurse Practitioner in Anaheim, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

710 N Euclid St Ste 208
Anaheim, CA 92801-4132
Phone: (714) 844-5804
Fax: (714) 888-7216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1548905391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyisha Fletcher — Nurse Practitioner · (310) 251-6727
NPI enumeratedMay 4, 2022
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022
Mailing address5318 E 2nd St # 339, Long Beach, CA 90803-5324

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