Anissa Ellen Spada, NURSEPRACTITIONER
Anissa Ellen Spada, NURSEPRACTITIONER is a Nurse Practitioner in Santa Ana, California. Qualified in 2015, 11 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 11
- Licensed in
- CA
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
2010 E 1st St Ste 100Santa Ana, CA 92705-4086
Phone: (714) 556-7246
Fax: (714) 556-7247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 11180 Warner Ave, Fountain Valley, CA 92708-7501 — (714) 893-6008
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 95005139 (CA) |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 95005139 (CA) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 9500139 (CA) |
Record details
| NPI number | 1114469111 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | November 8, 2016 |
| Last updated in NPPES | October 15, 2018 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Ehab Yacoub Md Inc — 175 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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